Document Detail

Acute tonsillitis: an unusual presentation of Kawasaki syndrome: a case report and review of the literature.
MedLine Citation:
PMID:  16328404     Owner:  NLM     Status:  MEDLINE    
Kawasaki syndrome is an acute, self-limiting vasculitis that occurs mainly in children. The disorder is difficult to diagnose, a problem compounded by the lack of a specific diagnostic test. If the condition is unrecognised or treated sub-optimally, there is a 25% risk of developing serious cardiovascular complications. We report the case of an 8-year-old boy presenting with a history of acute tonsillitis and cervical lymphadenopathy in which the diagnosis of Kawasaki syndrome became apparent 4 days after admission. The case emphasises the importance of having a high index of suspicion for Kawasaki syndrome in children presenting with tonsillitis and cervical lymphadenopathy who do not respond to antibiotics or who have atypical features at the time of or after admission. A literature review of previous cases reveals a higher than usual age of presentation for the disease that could result in a greater percentage of cardiac complications.
H R Hathursinghe; S Patel; H S Uppal; J Ray
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-11-22
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  263     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2007-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  336-8     Citation Subset:  IM    
Department of Otolaryngology, Russells Hall Hospital, Dudley, West Midlands, UK.
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MeSH Terms
Acute Disease
Immunoglobulins, Intravenous / therapeutic use
Mucocutaneous Lymph Node Syndrome / complications,  diagnosis*,  therapy
Tonsillitis / etiology*
Reg. No./Substance:
0/Immunoglobulins, Intravenous

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