Abstract
Incomplete Kawasaki Disease Presenting with Fever and Cervical Lymphadenitis in a 10-Year-Old Child
Highlights
Five days later, day #17 of illness, the patient was readmitted with return of fever with worsening right and some left neck swelling, pharyngitis, and a transient macular rash on his face
He had been admitted to an outside facility and treated for 3 days with intravenous (IV) ampicillin/sulbactam and clindamycin, where a computed tomography (CT) revealed right sided lymphadenitis with no abscess formation
The diagnosis of Kawasaki disease (KD) is based on clinical criteria, including fever and ≥ 4 of the following: Non-exudative conjunctivitis, oral mucosa/lips/strawberry tongue erythema, maculopapular rash, cervical adenopathy, and changes in the extremities with desquamation; laboratory evaluation includes: Elevated acute-phase reactants, complete blood count (CBC), sterile pyuria, elevated serum alanine aminotransferase (ALT) level, and low serum albumin
Summary
Day #17 of illness, the patient was readmitted with return of fever with worsening right and some left neck swelling, pharyngitis, and a transient macular rash on his face. A 10-year-old male was admitted to our hospital after worsening right-sided neck lymphadenitis and fever of 39.8 °C (103.6 °C) of 7 days duration. He had been admitted to an outside facility and treated for 3 days with intravenous (IV) ampicillin/sulbactam and clindamycin, where a computed tomography (CT) revealed right sided lymphadenitis with no abscess formation.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
