Aseptic Meningitis, As the First Manifestation of Kawasaki Disease: A Case Report

: Kawasaki disease (KD), a systemic inflammatory disorder with medium-sized vasculitis, mostly occurs among children < five years of age. The highest incidence of KD is among the Asian population. The primary treatment of KD is intravenous immunoglobulin (IVIG) administration. Extreme irritabilit...

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Bibliographic Details
Published in:Journal of comprehensive pediatrics 2020-11, Vol.11 (4)
Main Authors: Shalchi, Zohreh, Shirsalimi, Niyousha, Sedighi, Iraj
Format: Article
Language:English
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Summary:: Kawasaki disease (KD), a systemic inflammatory disorder with medium-sized vasculitis, mostly occurs among children < five years of age. The highest incidence of KD is among the Asian population. The primary treatment of KD is intravenous immunoglobulin (IVIG) administration. Extreme irritability is a common neurologic manifestation among infants, and central nervous system involvement is uncommon and occurs as a result of vasculitis or IVIG administration late in the treatment course. Here, we discussed an eight-year-old girl with a final diagnosis of atypical KD, who was primarily diagnosed as aseptic meningitis. The patient was admitted with a history of fever, headache, and vomiting and later developed strawberry tongue, coronary involvement, and fingertip desquamation during the follow-up period. Aseptic meningitis, as the first clinical manifestation, made the definitive diagnosis of the KD challenging.
ISSN:2251-8150
2251-8177
DOI:10.5812/compreped.103101