J Korean Pediatr Cardiol Soc.  2006 Mar;10(1):37-41.

A Case of Kawasaki Disease Resembling as Peritonsillar Abscess

Affiliations
  • 1Department of Pediatrics, Ulsan University Hospital, College of Medicine, Ulsan University, Ulsan, Korea. kjstain@naver.com
  • 2Department of Pediatrics, Samsung Masan Hospital, College of Medicine, Sungkyunkwan University, Masan, Korea.

Abstract

Kawasaki disease is an acute febrile mucocutanenous syndrome associated with multisystemic vasculitis. The etiology of Kawasaki disease is still unknown therefore this disease can be diagnosed only based upon clinician's recognition of a symptom pattern which includes high fever, oral cavity changes, polymorphous skin rash, conjuctival injections, cervical lymphadenopathy, and swelling of peripheral extremities. Early diagnosis and treatment of Kawasaki disease is critical to reduce the risk of cardiac complications such as coronary aneurysm. However there is no specific diagnostic tools for Kawasaki disease, unusual clinical manifestation resembling infectious disease involving cervical lesion often leads to delay in appropriate diagnosis and treatment of Kawasaki disease. We report a ten-year-old girl with Kawasaki disease whose initial presentation mimicking peritonsillar abscess.

Keyword

Kawasaki disease; Peritonsillar abscess

MeSH Terms

Communicable Diseases
Coronary Aneurysm
Diagnosis
Early Diagnosis
Exanthema
Extremities
Female
Fever
Humans
Lymphatic Diseases
Mouth
Mucocutaneous Lymph Node Syndrome*
Peritonsillar Abscess*
Vasculitis
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