A case of Kawasaki disease mimicking a retropharyngeal abscess

Kayoko Hattori, Shigeru Hirano, Ichiro Tateya, Toru Sogami, Juichi Ito

研究成果: Article査読

1 被引用数 (Scopus)

抄録

We report a case of Kawasaki disease mimicking a retropharyngeal abscess. A boy aged 7 years and 11 months was hospitalized after 4 days with a high fever and cervical lymphadenopathy. Contrast-enhanced head and neck computed tomography (CT) showed a low-density lesion in the posterior pharyngeal space. Having all 6 clinical criteria for Kawasaki disease on hospital day 2, the boy was treated with γ-globulin, ibuprofen, and antibiotics, which gradually alleviated all clinical signs. An abscess-like retropharyngeal lesion is considered a manifestation of Kawasaki disease. Cervical lymphadenopathy is the presenting symptom in only 12% of subjects with Kawasaki disease, and may significantly delay diagnosis. It is therefore important when examining a child with a retropharyngeal abscess to consider the possibility of Kawasaki disease.

本文言語English
ページ(範囲)453-456
ページ数4
ジャーナルPractica Oto-Rhino-Laryngologica
105
5
DOI
出版ステータスPublished - 2012
外部発表はい

All Science Journal Classification (ASJC) codes

  • 耳鼻咽喉科学

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