A Case of Kawasaki Disease Mimicking a Retropharyngeal Abscess
| Autor: | Kayoko Hattori, Juichi Ito, Shigeru Hirano, Toru Sogami, Ichiro Tateya |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Pharyngeal space
medicine.medical_specialty medicine.diagnostic_test business.industry Retropharyngeal abscess Computed tomography medicine.disease Surgery Lesion Otorhinolaryngology Cervical lymphadenopathy hemic and lymphatic diseases medicine Kawasaki disease cardiovascular diseases Radiology medicine.symptom skin and connective tissue diseases Head and neck business |
| Zdroj: | Practica Oto-Rhino-Laryngologica. 105:453-456 |
| ISSN: | 1884-4545 0032-6313 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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