Abstract
Introduction: Kawasaki disease (KD) is an acute systemic febrile vasculitis in young children and infants, which affects medium and small caliber vessels. Case report: A 15-month-old male patient who initially consulted for left cervical lymphadenopathy against a background of fever. The diagnosis of an adenophlegmon has been suspected. Outpatient treatment was administered. The course was marked by the persistence of fever and regression of lymphadenopathy. Clinical examination during the check found cheilitis and peeling of the perineum with biological inflammatory syndrome. The patient received aspirin anti-inflammatory dose and perfusion of immunoglobulins with good progress. Conclusion: In the case of an adenopathy in infants associated with prolonged fever, one should always be wary of a Kawasaki even in the absence of other clinical criteria.
Highlights
Kawasaki disease (KD) is an acute systemic febrile vasculitis in young children and infants, which affects medium and small caliber vessels
In the case of an adenopathy in infants associated with prolonged fever, one should always be wary of a Kawasaki even in the absence of other clinical criteria
The clinical criteria of Kawasaki can guide the diagnosis in typical cases, but sometimes the diagnosis is not so easy, we report a case of atypical Kawasaki in a 15-month-old infant
Summary
Kawasaki disease (KD) is an acute systemic febrile vasculitis in young children and infants, which affects medium and small caliber vessels [1]. It is the leading cause of acquired heart disease in developed nations and is slowly bypassing rheumatic heart disease in developing countries [2] [3]. The majority (80%) of patients are less than 5 years old, with a peak incidence around 12 months of age [4]. The clinical criteria of Kawasaki can guide the diagnosis in typical cases, but sometimes the diagnosis is not so easy, we report a case of atypical Kawasaki in a 15-month-old infant
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