Pleural effusion as an atypical presentation of Kawasaki disease: a case report and review of the literature

Arslanoglu Aydin E., Demir S., Aydin O., BİLGİNER Y., ÖZEN S.

JOURNAL OF MEDICAL CASE REPORTS, cilt.13, sa.1, 2019 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 13 Sayı: 1
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1186/s13256-019-2284-4
  • Dergi Adı: JOURNAL OF MEDICAL CASE REPORTS
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: Kawasaki disease, Pleural effusion, Pulmonary involvement, PULMONARY PRESENTATION, PNEUMONIA, INVOLVEMENT, DIAGNOSIS, NODULES, RASH
  • Eskişehir Osmangazi Üniversitesi Adresli: Hayır

Özet

Background Kawasaki disease is an acute, febrile vasculitis of childhood that affects medium-sized arteries, predominantly the coronary arteries. It is a multisystem disease; therefore, it may present with non-cardiac findings of disease. Case presentation Here, we report the case of 7-year-old Turkish girl who presented with symptoms of fever, chest pain, and vomiting, who was diagnosed as having Kawasaki disease. We also present a literature review on pulmonary involvement due to Kawasaki disease. Conclusion Pediatricians should consider the diagnosis of Kawasaki disease in the presence of pneumonia and pleural effusion that is nonresponsive to antibiotic therapy. This will prevent delay in diagnosis and the adverse consequences of the disease.