All issues > Volume 48(4); 2005

Case Report

Korean J Pediatr. 2005;48(4):438-442. Published online April 15, 2005.

A Case of Kawasaki Disease with Mycoplasma Pneumonia

Se Min SM Lee¹, So Eun SE Park¹, Yeun Woo YW Kim², Jung Yeun JY Hong²

¹Department of Pediatrics, Seoul National University, College of Medicine, Seoul, Korea
²Department of Pediatrics, Cheju University, College of Medicine, Cheju, Korea

Correspondence Jung Yeun JY Hong ,Email: hongped@cheju.ac.kr

Abstract

Kawasaki disease is an acute febrile vasculitis that occurs predominantly in young children under 5- years-old. The patients present generally with a high spiking fever that is unresponsive to antibiotics and lasts for more than five days at least. Prolonged fever has been shown to be a risk factor in the development of coronary artery disease. It seems to be certain that infectious agents are associated with the pathogenesis of Kawasaki disease. The differential diagnosis of Kawasaki disease must rule out infectious diseases including scarlet fever, toxic shock syndrome, measles, and so on. This is very important for adequate treatment and prevention of cardiac complications of Kawasaki disease. We experienced a 25-month-old boy who had high fever and pneumonic consolidation in the right middle and lower lobe of the lung that was considered as mycoplasma pneumonia on admission and developed coronary artery aneurysmal dilatation during treatment with roxythromycin.

Keywords :Kawasaki disease , Mycoplasma pneumonia