Retropharyngeal abscess: An unusual presentation of Kawasaki disease. Case report and review of the literature期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Retropharyngeal abscess: An unusual presentation of Kawasaki disease. Case report and review of the literature

Authors:	Maria Elena Cavicchiolo Paola Berlese Silvia Bressan Elena Trincia Ingrid Inches Maria Stefania Strafella Chiara Stefani Liviana Da Dalt

Affiliation:	1. Department of Woman and Child Health, University of Padua, Italy;2. Neuroradiology Unit, Treviso Hospital, Treviso, Italy;3. Pediatric Unit, Treviso Hospital, Treviso, Italy;1. Department of Preventive Dentistry & Public Oral Health, Oral Science Research Institute, Brain Korea 21 PLUS Project, Yonsei University, College of Dentistry, 50 Yonsei-ro, Seodaemun-Gu, Seoul 120-749, Republic of Korea;2. Department of Dental Hygiene, College of Health Science, Gachon University, Incheon, Republic of Korea;1. Department of Community Nursing, College of Nursing, Chonbuk National University, Jeonju, South Korea;2. Dept. Bio. Science & Rural Resources, College of Environmental & Bioresource Sciences, Chonbuk National University, Jeonju, South Korea;1. Department of Colorectal Surgery, King’s College Hospital Foundation NHS Trust, London, United Kingdom;2. Department of Surgery, Hartford Hospital, Hartford, CT;3. Department of Colorectal Surgery, Whipps Cross University Hospital, London, United Kingdom;4. Department of Colorectal Surgery, Allegheny General Hospital, Pittsburgh, PA;5. Department of Abdominal and General Surgery and Oncology, National Cancer Institute, Vilnius, Lithuania;6. Department of Surgery, Koç University, Istanbul, Turkey;7. Department of Surgery, Hospital de Braga, Braga, Portugal;8. Coloproctology Department, Centro Medico Loira, Caracas, Venezuela;9. Department of Surgery, Teikyo University Chiba Medical Center, Chiba, Japan;10. Department of Surgery, Klaipeda University Hospital, Klaipeda, Lithuania;11. Department of Surgery, International Medical Center, Fujita Health University Hospital, Toyoake, Japan;12. Department of Surgery, Kangbuk Samsung Hospital, Seoul, South Korea;13. ISUCRS, 109 Partin Street, Chapel Hill, NC 27514, USA;1. Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel;2. Department of Otorhinolaryngology, Schneider Children''s Medical Center of Israel, Petah Tikva, Israel;3. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Abstract:	We report the case of a patient with Kawasaki disease whose initial presentation mimicked a retropharyngeal abscess and review the literature of this topic (16 cases reported). Fever and deep neck infection like symptoms were the only clinical findings at admission in 87.5% children. All children had a neck CT scan performed showing findings suggestive of retropharyngeal abscess. All children were started antibiotic therapy without clinical improvement and 31% of patients underwent unproductive surgical drainage of the retropharyngeal space. Otolaryngologist should be aware of atypical presentation of Kawasaki disease presentation mimicking retropharyngeal abscess. Early diagnosis is pivotal for preventing cardiac complications and avoiding the risk associated to unnecessary surgical intervention.

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