Pediatr Infect Vaccine.  2017 Apr;24(1):60-64. 10.14776/piv.2017.24.1.60.

Acute Scrotum in an Infant with Kawasaki Disease

  • 1Department of Pediatrics, Inha University School of Medicine, Incheon, the Republic of Korea.


Kawasaki disease (KD) is a systemic vasculitis that occurs predominantly in infants and young children. The etiology of KD is unknown and coronary heart disease is a major complication of KD. Acute scrotum is a rare complication of acute KD, and not as well recognized as other manifestations of the disease. We report a 2-month-old boy with acute scrotum in the acute phase of KD. He was treated with intravenous immunoglobulin (total 2 g/kg) and aspirin (50 mg/kg/day). The treatment was effective in resolving his fever and other clinical symptoms, but 2 days after starting treatment he experienced scrotal swelling. Scrotal ultrasound and transillumination were used in the diagnosis of acute scrotum. After 2 months, a follow-up testicular ultrasound revealed a remission of the acute scrotum. Subsequently, he has been followed up for KD.


Mucocutaneous lymph node syndrome; Testicular hydrocele; Urological manifestations
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