Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.
Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
Ear Nose Throat J. 2023 Jun;102(6):NP291-NP293. doi: 10.1177/01455613211006011. Epub 2021 Mar 26.
A 42-year-old man was referred for a week history of severe dysphagia, odynophagia, fever (39 °C), fatigue, abdominal pain, pharyngeal swelling, and multiple neck lymphadenopathies. The medical history reported a mild form of COVID-19 one month ago. The biology reported an unspecified inflammatory syndrome. The patient developed peritonitis, myocarditis, and hepatitis. A myocardium biopsy was performed. A diagnosis of Kawasaki-like disease (KLD) was performed. The occurrence of KLD in adults is rare but has to be known by otolaryngologists regarding the otolaryngological clinical presentation that may precede the multiple organ failure.
一位 42 岁男性因一周来严重的吞咽困难、咽痛、发热(39°C)、乏力、腹痛、咽部肿胀和多处颈部淋巴结病而就诊。该患者一个月前曾有过 COVID-19 轻症病史。生物学检查报告为未特指的炎症综合征。该患者出现腹膜炎、心肌炎和肝炎。进行了心肌活检。诊断为川崎病样疾病(KLD)。成人 KLD 少见,但耳鼻喉科医生需要了解该病,因为其耳鼻喉科临床表现可能先于多器官衰竭出现。