Atypical or Incomplete Kawasaki Disease in a Young Child: A Case Report

J Pediatr Health Care. 2019 Jul-Aug;33(4):485-488. doi: 10.1016/j.pedhc.2018.10.004. Epub 2018 Dec 27.

Abstract

This case report describes an atypical or incomplete presentation of Kawasaki Disease. Kawasaki Disease is an inflammatory process that can affect all blood vessels and result in cardiac complications; particularly coronary artery aneurysms. Patients are typically young children, usually younger than 5 years of age, who initially present with a high fever and nonspecific rash. The child in this case presented with an atypical or incomplete presentation, and was diagnosed with Kawasaki disease after multiple provider encounters. Signs and symptoms of Kawasaki disease versus atypical or incomplete Kawasaki disease, differential diagnoses, and potential complications from Kawasaki disease are discussed in this case report.

Keywords: Atypical; fever; incomplete Kawasaki disease; rash/exanthema illness.

Publication types

  • Case Reports

MeSH terms

  • Appetite
  • Child, Preschool
  • Emergency Service, Hospital
  • Fatigue / etiology
  • Fever / etiology
  • Hospitalization
  • Humans
  • Male
  • Mucocutaneous Lymph Node Syndrome / diagnosis*
  • Mucocutaneous Lymph Node Syndrome / pathology
  • Mucocutaneous Lymph Node Syndrome / therapy