A Case of Incomplete Kawasaki Disease Resembling a Retropharyngeal Abscess

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  • Kyutoku Takayuki
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Nagano Hiromi
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Iuchi Hiroyuki
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Jimura Tomohiro
    Kagoshima University Graduate School of Medical and Dental Sciences
  • Kurono Yuichi
    Kagoshima University Graduate School of Medical and Dental Sciences

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Other Title
  • 咽後膿瘍を合併した不全型川崎病例
  • 臨床 咽後膿瘍を合併した不全型川崎病例
  • リンショウ インゴ ノウヨウ オ ガッペイ シタ フゼンガタ カワサキビョウレイ

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Abstract

<p>Kawasaki disease, also known as acute febrile mucocutaneous lymph node syndrome, is a systemic vasculitis of unknown etiology. We report a rare case of incomplete Kawasaki disease in a 24-month-old male infant presenting with swelling of the right neck. CT showed ring enhancement in the retropharyngeal space. Based on the findings, we made the clinical diagnosis of retropharyngeal abscess. Puncture drainage via the oral approach was performed with ultrasonographic guidance under general anesthesia. The symptom was relieved immediately and the patient was discharged six days after the operation.</p><p>It is necessary to consider the possibility of incomplete Kawasaki disease in a patient presenting with neck swelling suggestive of a retropharyngeal abscess.</p>

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