Korean J Pediatr Infect Dis.  2014 Dec;21(3):214-218. 10.14776/kjpid.2014.21.3.214.

Unilateral Parotitis and Kawasaki Disease in a Child

• Lyu SY
• Ban GH
• Park SE

• KMID: 2279096
• DOI: http://doi.org/10.14776/kjpid.2014.21.3.214

Abstract

Kawasaki disease is generally diagnosed base on its clinical features. Sometimes unusual or atypical presentations make the diagnosis of Kawasaki disease difficult. We experienced an unusual case of Kawasaki disease presented with unilateral parotitis in a 23-month old girl. Despite of intravenous antibiotics treatment, fever and unilateral parotid swelling persisted. Skin rashes, conjunctival injections, and coronary abnormalities showed up on the 8th day of fever. After the intravenous immunoglobulin and salicylates treatment, all symptoms disappeared. Although unilateral parotitis is very unusual presentation of Kawasaki disease, in case of no response to antibiotics, Kawasaki disease should be included in the differential diagnosis.

Keyword

Parotitis; Kawasaki disease

MeSH Terms

Anti-Bacterial Agents
Child*
Diagnosis
Diagnosis, Differential
Exanthema
Female
Fever
Humans
Immunoglobulins
Mucocutaneous Lymph Node Syndrome*
Parotitis*
Salicylates
Anti-Bacterial Agents
Immunoglobulins
Salicylates

Figure

• 

  Fig. 1. (A) Photograph taken on the admission day demonstrated the swelling and the redness of right cheek. (B) On the hospital day 9, the swelling and redness of right cheek showed the improvement after administration of intravenous im-munoglobulin.

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  Fig. 2. Ultrasonography revealed right parotitis with multiple lymph nodes enlargement and necrotic lymph node (arrow).

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  Fig. 3. Echocardiograpic findings on the 8th day of fever showed the initial sign of dilatation of left circum-flex artery measuring 2.8–3.2 mm (z-score 3.62–4.71) (arrow).

Reference

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