Adult Recurrence of Kawasaki Disease Mimicking Retropharyngeal Abscess

Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in young children (≤5 years of age). We herein report the case of an 18-year-old Japanese man with a history of incomplete KD during infancy; later, despite an initial diagnosis of retropharyngea...

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Bibliographic Details
Published in:Internal Medicine 2017/08/15, Vol.56(16), pp.2217-2221
Main Authors: Hibino, Makoto, Urabe, Yuko, Horiuchi, Shigeto, Uchida, Yuji, Miyahara, Kiyoshi
Format: Article
Language:English
Subjects:
Adolescent
Case Report
Children
computed tomography
Computed Tomography Angiography
Diagnosis, Differential
Edema
Edema - etiology
Etiology
Humans
Internal medicine
Kawasaki disease
Magnetic Resonance Imaging
Male
Mimicry
Mucocutaneous lymph node syndrome
Mucocutaneous Lymph Node Syndrome - complications
Mucocutaneous Lymph Node Syndrome - diagnostic imaging
Recurrence
Retropharyngeal Abscess - diagnosis
retropharyngeal cellulitis
retropharyngeal edema
T2 shine through
Tomography, X-Ray Computed
Vasculitis
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Summary:Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in young children (≤5 years of age). We herein report the case of an 18-year-old Japanese man with a history of incomplete KD during infancy; later, despite an initial diagnosis of retropharyngeal abscess, he was ultimately diagnosed with retropharyngeal edema associated with recurrent KD. Adult-onset or recurrent KD is an uncommon event, and retropharyngeal edema is a rare manifestation of this disease. Internists should be aware of the possibility of KD that mimics a retropharyngeal abscess, even in adult patients.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.8399-16