Korean Circ J.  2009 Nov;39(11):502-504. 10.4070/kcj.2009.39.11.502.

Kawasaki Disease Presenting as Parotitis in a 3-Month-Old Infant

• Do HJ
• Baek JG
• Kim HJ
• Yeom JS
• Park JS
• Park ES
• Seo JH
• Lim JY
• Park CH
• Woo HO
• Youn HS

• KMID: 2225655
• DOI: http://doi.org/10.4070/kcj.2009.39.11.502

Abstract

A male infant aged 3 months and 1 week had persistently high fever with parotitis that was unresponsive to antibiotics. Mumps was identified by serologic study, but he was finally diagnosed by clinical features as having Kawasaki disease and echocardiographic findings on the 9th day of fever. Parotitis, which is unresponsive to antibiotics, should be considered Kawasaki disease even though typical symptoms are not present.

Keyword

Kawasaki disease; Mumps; Parotitis

MeSH Terms

Aged
Anti-Bacterial Agents
Fever
Humans
Infant
Male
Mucocutaneous Lymph Node Syndrome
Mumps
Parotitis
Anti-Bacterial Agents

Figure

• 

  Fig. 1 CT of the pharynx showed diffuse swelling and prominent contrast enhancement of the left parotid gland with dirty infiltration (arrow).

• 

  Fig. 2 Echocardiographic findings on day 9 of fever showed diffuse dilatation of the left main coronary artery measuring 2.8 mm and saccular dilatation of proximal left anterior descending artery measuring 4.0 mm.

Reference

1. Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professional from the Committee on Rheumatic fever, Endocarditis, and Kawasaki disease, Council on Cardiovascular Disease in the Young, Americal Heart Association. Pediatrics. 2004. 114:1708–1733.

2. Amano S, Hazama F, Kubagawa H, Tasaka K, Haemara H, Hamashima Y. General pathology of Kawasaki disease. Acta Pathol Jpn. 1980. 30:681–694.

3. Spiegel R, Miron D, Sakran W, Horovitz Y. Acute neonatal suppurative parotitis: case reports and review. Pediatr Infect Dis J. 2004. 23:76–78.

4. Chiu CH, Lin TY. Clinical and microbiological analysis of six children with acute suppurative parotitis. Acta Paediatr. 1996. 85:106–108.

5. Seyedabadi KS, Howes RF, Yazdi M. Parotitis associated with Kawasaki syndrome. Pediatr Infect Dis J. 1987. 6:223.

6. Flaitz CM. Parotitis as the initial sign of juvenile Sjögren's syndrome. Pediatr Dent. 2001. 23:140–142.

7. Durongpisitkul K, Soongswang J, Laohaprasitiporn D, Nana A, Prachuabmoh C, Kangkagate C. Immunoglobulin failure and retreatment in Kawasaki disease. Pediatr Cardiol. 2003. 24:145–148.

8. Kim BK, Lee BK, Choi DH, Shim DK. Coronary stenting in 15 year-old boy with coronary artery stenosis seconary to Kawasaki disease. Korean Circ J. 2000. 30:1300–1306.