Atypical 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 ymptom is cervical lymphadenitis (50%--75%) while the othrs occur in 90% of the cases.1 Cervical lymphadenitis as nitial presenting symptom occurs in only 12% of the times2 nd may be misdiagnosed as other disease entity. KD involves all blood vessels, especially medium sized essels like the coronary artery. In this regard, KD may cause evere complications with delayed treatment. Image of retropharyngeal low-density area, in addition o retropharyngeal abscess and edema is usually associated o a fatal condition if not appropriately treated. Otolarynologists are familiar with this disease and may treat it with