ABSTRACT
BACKGROUND: Flexible endoscopy (FE) for the pediatric aerodigestive tract is an invasive and complicated procedure; therefore, it is usually performed under an inpatient setting. We investigated whether FE could be a safe procedure for outpatient young children (< 5 years old) and analyzed the findings. METHODS: Outpatient FE records were retrospectively reviewed between 1996 and 2003. Patients aged less than 5 years were enrolled and allocated to 3 age groups: group A (Subject(s)
Endoscopy/adverse effects
, Esophageal Diseases/diagnosis
, Respiratory Tract Diseases/diagnosis
, Ambulatory Care
, Child
, Child, Preschool
, Female
, Humans
, Infant
, Male
, Retrospective Studies
ABSTRACT
Kawasaki disease predominantly affects children younger than 5 years. Coronary artery aneurysms were found in around 20% of untreated patients. We report on a case of a 10-year-old boy who had atypical presentation of Kawasaki disease with significant hepatobiliary dysfunction, including hepatomegaly and jaundice, and persistent fever. He did not have conjunctivitis until the 8th day of fever, and periungual desquamation and strawberry tongue until the 13th day of fever when Kawasaki disease was diagnosed. Echocardiography revealed multiple coronary artery aneurysms. Such atypical clinical pictures of Kawasaki disease may cause delay in the treatment, and the fatality rate can be increased. So, a persistent fever with jaundice should evoke the differential diagnosis of Kawasaki disease.
