Atypical Kawasaki disease

A. Thumjaa, C. Selvakumar

Abstract


A five year old girl presented with fever for about three weeks, rashes for about 1 week with mild congestion of eyes, redness of mucosa of oropharynx, strawberry tongue, and desquamation of skin in the perineal region. Investigation showed Pleomorphic leukocytosis and thrombocytosis, all bacterial cultures were negative, echocardiography was normal. We had a high suspicion of Kawasaki disease with atypical presentation, therefore it should be quickly suspected in unexplained prolonged febrile children with associated features for early diagnosis and treatment to prevent coronary artery abnormality.  


Keywords


Atypical Kawasaki disease, Diagnostic criteria, Treatment of Kawasaki disease

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References


Kawasaki T. Acute febrile mucocutaneous lymph node syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Jpn J Allergy. 1967;16:178-222.

Dajani AS, Taubert KA, Gerber MA, Shulman ST, Ferrieri P, Freed M, et al. Diagnosis and therapy of Kawasaki disease in children. Circulation. 1993;87:1776-80.

Curtis N. Kawasaki disease. BMJ. 1997;315:322-3.

Royle JA, Williams K, Elliott E, Sholler G, Nolan T, Allen R, et al. Kawasaki disease in Australia, 1993-1995. Arch Dis Child. 1998;78:33-9.

Rowley AH, Gonzalez-Crussi F, Gidding SS, Duffy CE, Shulman ST. Incomplete Kawasaki disease with coronary artery involvement. J Paediatr. 1987;110:409-13.

Witt MT, Minich LL, Bohnsack JF, Young PC. Kawasaki disease: more patients are being diagnosed who do not meet American Heart Association criteria. Paediatrics. 1999;104:e10.

Stapp J, Marshall GS. Fulfilment of diagnostic criteria in Kawasaki disease. South Med J. 2000;93:44-7.

Rowley AH. Incomplete (atypical) Kawasaki disease. Paediatr Infect Dis J. 2002;21:563-5.