Incomplete and Atypical Presentation of Kawasaki Disease: A Report of Five Cases

AUTHORS

Mohammad Bagher Rahmati 1 , Mohammd Mehdi Houshmandi 2 , *

AUTHORS INFORMATION

1 Assistant Professor Department of Pediatrics, Pediatrics Clinnical and Developmental Research Center, Hormozgan University of Medical Sciences, Banadr Abbas, Iran.

2 Pediatrics, Hormozgan University of Medical Sciences, Banadr Abbas, Iran.

ARTICLE INFORMATION

Hormozgan Medical Journal: 18 (4); e87750
Published Online: December 27, 2012
Article Type: Case Report
Received: August 19, 2012
Accepted: December 27, 2012

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Abstract

Introduction: Kawasaki disease (KD) is an acute febrile vasculitis mainly affecting
children, with two types of presentation, namely, typical and atypical. It is the most critical
cause of coronary artery complications and if not treated on time and appropriately,
complications may occur in up to 25% of the patients will get.
Patients: These study reports five rare cases of incomplete KD Who has been admitted
with diagnosis of Bacterial Meningitis, Staphylococcal Septic Arthritis, Herpetic
Gingivostomatitis, Viral Hepatitis and prolonged Fever. Since there was no response to
treatment, with impression of Atypical Kawasaki patient has been evaluated and treated.
Conclusion: Atypical presentation of the disease led to misdiagnosis and prolonged
process of diagnosis. Due to the increasing number of atypical Kawasaki cases and the
probability of coronary artery disorder, it is recommended that atypical Kawasaki be
considered in the differential diagnosis of the disease in the patients with fever of over five
days without any clinical cause.

Keywords

Kawasaki Disease - Meningitis – Hepatitis – Septic Arthritis

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