Cason Rachel K, Ponniah Umakumaran P, Makil Elizabeth S, Niu Mary C
Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Ann Pediatr Cardiol. 2020 Jul-Sep;13(3):244-247. doi: 10.4103/apc.APC_89_19. Epub 2020 Jun 11.
Kawasaki disease (KD) is a systemic inflammatory condition primarily affecting young children. We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to be a recurrence of KD, diagnosed after the development of coronary artery aneurysms. Our case reinforces the role of maintaining a high index of suspicion for KD, both in patients with prior KD episodes and in those with persistent fever who do not fulfill the diagnostic criteria for typical KD. This is particularly important for patients presenting with atypical symptoms not commonly associated with KD, such as inflammation of the retropharyngeal and parapharyngeal spaces.
川崎病（KD）是一种主要影响幼儿的全身性炎症性疾病。我们报告一名青春期男性，在2岁至14岁之间发生了两次完全性KD发作。14岁时，他出现了提示咽后脓肿的症状。后来确定这是KD的复发，在冠状动脉瘤形成后确诊。我们的病例强化了对KD保持高度怀疑的重要性，无论是在既往有KD发作的患者中，还是在那些持续发热但不符合典型KD诊断标准的患者中。这对于表现出与KD通常无关的非典型症状的患者尤为重要，例如咽后和咽旁间隙炎症。
