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Kawasaki disease presenting as retropharyngeal abscess

Korean Journal of Pediatrics 2008;51(9):1023-1027.
Published online September 15, 2008.
Kawasaki disease presenting as retropharyngeal abscess
Sung Yoon Cho, Hye Kyung Cho, Ky Young Cho, Hae Soon Kim, Sejung Sohn
Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea
후인두부 농양으로 오인된 가와사끼병
조성윤, 조혜경, 조기영, 김혜순, 손세정
이화여자대학교 의학전문대학원 소아과학교실
Sejung Sohn, Email: sohn@ewha.ac.kr
A group of patients with Kawasaki disease (KD) initially present with cervical lymphadenitis or deep neck infection. These unusual KD presentations lead to unnecessary antibiotic therapy or surgical intervention, thereby delaying intravenous immunoglobulin treatment and increasing the risk of coronary artery damage. We present four KD patients whose initial presentations mimicked a retropharyngeal abscess. Nonsuppurative cervical lymphadenitis or suspected neck abscess unresponsive to intravenous antibiotics could signal the possibility of KD.
Key Words: Kawasaki disease, Retropharyngeal abscess

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