The diagnosis of Kawasaki disease in a 10-year-old girl presenting with cervical lymphadenopathy and fever suggesting retropharyngeal abscess
Pediatric Emergency Medicine Journal
;
: 102-105, 2017.
Article
in Korean
| WPRIM
| ID: wpr-225120
ABSTRACT
Given that Kawasaki disease (KD) can cause cardiac complications, it is crucial to diagnose and treat the disease in the emergency department. We report a case of a 10-year-old girl who presented to the emergency department with cervical lymphadenopathy and fever. The initial diagnosis was retropharyngeal abscess based on computed tomography findings, but antibiotic therapy failed and she was subsequently diagnosed with KD. After 3 doses of intravenous immunoglobulin along with methylprednisolone and methotrexate, she was discharged on hospital day 21. The cervical lymphadenopathy suggesting retropharyngeal abscess might be an early sign of incomplete or intravenous immunoglobulin-resistant KD.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vasculitis
/
Immunoglobulins
/
Methylprednisolone
/
Methotrexate
/
Retropharyngeal Abscess
/
Neck Pain
/
Diagnosis
/
Emergency Service, Hospital
/
Fever
/
Lymphatic Diseases
Type of study:
Diagnostic study
Limits:
Child
/
Female
/
Humans
Language:
Korean
Journal:
Pediatric Emergency Medicine Journal
Year:
2017
Type:
Article
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