Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review

Kawasaki disease (KD) is a systemic inflammatory condition primarily affecting young children. We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to...

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Main Authors: Rachel K Cason, Umakumaran P Ponniah, Elizabeth S Makil, Mary C Niu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2020;volume=13;issue=3;spage=244;epage=247;aulast=Cason
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author Rachel K Cason
Umakumaran P Ponniah
Elizabeth S Makil
Mary C Niu
author_facet Rachel K Cason
Umakumaran P Ponniah
Elizabeth S Makil
Mary C Niu
author_sort Rachel K Cason
collection DOAJ
description Kawasaki disease (KD) is a systemic inflammatory condition primarily affecting young children. We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to be a recurrence of KD, diagnosed after the development of coronary artery aneurysms. Our case reinforces the role of maintaining a high index of suspicion for KD, both in patients with prior KD episodes and in those with persistent fever who do not fulfill the diagnostic criteria for typical KD. This is particularly important for patients presenting with atypical symptoms not commonly associated with KD, such as inflammation of the retropharyngeal and parapharyngeal spaces.
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spelling doaj.art-caa9f0dedfab4ffbb54e255cc97c0d412022-12-22T01:39:13ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692020-01-0113324424710.4103/apc.APC_89_19Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature reviewRachel K CasonUmakumaran P PonniahElizabeth S MakilMary C NiuKawasaki disease (KD) is a systemic inflammatory condition primarily affecting young children. We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to be a recurrence of KD, diagnosed after the development of coronary artery aneurysms. Our case reinforces the role of maintaining a high index of suspicion for KD, both in patients with prior KD episodes and in those with persistent fever who do not fulfill the diagnostic criteria for typical KD. This is particularly important for patients presenting with atypical symptoms not commonly associated with KD, such as inflammation of the retropharyngeal and parapharyngeal spaces.http://www.annalspc.com/article.asp?issn=0974-2069;year=2020;volume=13;issue=3;spage=244;epage=247;aulast=Casoncoronary aneurysmkawasakiretropharyngeal abscess
spellingShingle Rachel K Cason
Umakumaran P Ponniah
Elizabeth S Makil
Mary C Niu
Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
Annals of Pediatric Cardiology
coronary aneurysm
kawasaki
retropharyngeal abscess
title Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
title_full Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
title_fullStr Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
title_full_unstemmed Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
title_short Atypical recurrent kawasaki disease with retropharyngeal involvement: A case study and literature review
title_sort atypical recurrent kawasaki disease with retropharyngeal involvement a case study and literature review
topic coronary aneurysm
kawasaki
retropharyngeal abscess
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2020;volume=13;issue=3;spage=244;epage=247;aulast=Cason
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AT umakumaranpponniah atypicalrecurrentkawasakidiseasewithretropharyngealinvolvementacasestudyandliteraturereview
AT elizabethsmakil atypicalrecurrentkawasakidiseasewithretropharyngealinvolvementacasestudyandliteraturereview
AT marycniu atypicalrecurrentkawasakidiseasewithretropharyngealinvolvementacasestudyandliteraturereview