Korean J Pediatr Infect Dis.  2014 Dec;21(3):214-218. 10.14776/kjpid.2014.21.3.214.

Unilateral Parotitis and Kawasaki Disease in a Child

Affiliations
  • 1Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine, Yangsan, Korea. psepse@naver.com

Abstract

Kawasaki disease is generally diagnosed base on its clinical features. Sometimes unusual or atypical presentations make the diagnosis of Kawasaki disease difficult. We experienced an unusual case of Kawasaki disease presented with unilateral parotitis in a 23-month old girl. Despite of intravenous antibiotics treatment, fever and unilateral parotid swelling persisted. Skin rashes, conjunctival injections, and coronary abnormalities showed up on the 8th day of fever. After the intravenous immunoglobulin and salicylates treatment, all symptoms disappeared. Although unilateral parotitis is very unusual presentation of Kawasaki disease, in case of no response to antibiotics, Kawasaki disease should be included in the differential diagnosis.

Keyword

Parotitis; Kawasaki disease

MeSH Terms

Anti-Bacterial Agents
Child*
Diagnosis
Diagnosis, Differential
Exanthema
Female
Fever
Humans
Immunoglobulins
Mucocutaneous Lymph Node Syndrome*
Parotitis*
Salicylates
Anti-Bacterial Agents
Immunoglobulins
Salicylates
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