An unusual otolaryngological problem--mucocutaneous lymph node syndrome (Kawasaki's syndrome) case report

A case of Kawasaki's syndrome is reported, involving a 12 year old Caucasian male who presented with a sore throat, tonsillar hypertrophy, bilateral cervical swelling, and fever. A maculopapular rash present was attributed to a reaction to methicillin. An initial diagnosis of peritonsillar cellulitis with deep lateral neck space cellulitis and abscess was made. Negative surgical exploratory findings and subsequent development of specific signs and symptoms prompted the diagnosis of Kawasaki's disease. Treatment with salicylates proved effective and the patient was discharged home. Kawasaki's disease, a disorder of unknown origin with potentially fatal results, is not an uncommon condition. An awareness of this entity with its protein manifestations is warranted by the otolaryngologist who may well be the first doctor on the scene. Prompt and early treatment with salicylates may well decrease morbidity and potential mortality of this enigmatic disease.