Korean J Pediatr.  2005 Apr;48(4):438-442.

A Case of Kawasaki Disease with Mycoplasma Pneumonia

• Lee SM
• Park SE
• Kim YW
• Hong JY

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.

Keyword

Kawasaki disease; Mycoplasma pneumonia

MeSH Terms

Aneurysm
Anti-Bacterial Agents
Child
Child, Preschool
Communicable Diseases
Coronary Artery Disease
Coronary Vessels
Diagnosis, Differential
Dilatation
Fever
Humans
Lung
Male
Measles
Mucocutaneous Lymph Node Syndrome*
Mycoplasma*
Pneumonia, Mycoplasma*
Risk Factors
Scarlet Fever
Shock, Septic
Vasculitis
Anti-Bacterial Agents