Adult Recurrence of Kawasaki Disease Mimicking Retropharyngeal Abscess
نویسندگان
چکیده
Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in young children (≤5 years of age). We herein report the case of an 18-year-old Japanese man with a history of incomplete KD during infancy; later, despite an initial diagnosis of retropharyngeal abscess, he was ultimately diagnosed with retropharyngeal edema associated with recurrent KD. Adult-onset or recurrent KD is an uncommon event, and retropharyngeal edema is a rare manifestation of this disease. Internists should be aware of the possibility of KD that mimics a retropharyngeal abscess, even in adult patients.
منابع مشابه
Kawasaki Disease Mimicking Retropharyngeal Abscess
Kawasaki disease is an acute, self-limiting febrile mucocutaneous vasculitis of infants and young children. Retropharyngeal lymphadenopathy is a rare presentation of Kawasaki disease. We present a case of Kawasaki disease mimicking a retropharyngeal abscess, with upper airway obstruction resulting in delayed diagnosis.
متن کاملRecurrent Kawasaki Disease in a Child With Retropharyngeal Involvement
Kawasaki disease (KD) is a multisystemic vasculitic disease. Recurrent KD is rare and generally presents in a similar clinical picture as the first episode, and early diagnosis with prompt treatment is the key point in preventing associated cardiovascular morbidities. A 9-year-old boy, who was diagnosed with KD when he was 1.5 years' old, was referred to our hospital for surgical drainage of re...
متن کاملKawasaki disease presenting as retropharyngeal abscess
A group of patients with Kawasaki disease (KD) initially present with cervical lymphadenitis or deep neck infection. These unusual KD presentations lead to unnecessary antibiotic therapy or surgical intervention, thereby delaying intravenous immunoglobulin treatment and increasing the risk of coronary artery damage. We present four KD patients whose initial presentations mimicked a retropharyng...
متن کاملA case of Kawasaki disease with coexistence of a parapharyngeal abscess requiring incision and drainage
Kawasaki disease (KD) causes multisystemic vasculitis but infrequently manifests with deep neck infections, such as a peritonsillar abscess, peritonsillar or deep neck cellulitis, suppurative parapharyngeal infection, or retropharyngeal abscess. As its etiology is still unknown, the diagnosis is usually made based on typical symptoms. The differential diagnosis between KD and deep neck infectio...
متن کاملAtypical Kawasaki disease presenting as a retropharyngeal abscess.
awasaki disease (KD) is an acute systemic vasculitis of nknown etiology, also called an acute febrile mucocutaeous lymph node syndrome, which is first identified by Dr. omisaku Kawasaki in 1967. This disease is characterized y fever, erythematous rash, cervical lymphadenitis, strawerry tongue, nonpurulent conjunctivitis and desquamation f hands and feet. Of these symptoms, the most infrequent y...
متن کامل