인두뒤농양을 시사하는 경부 림프절병과 발열로 방문하여 가와사키병으로 진단된 10세 여자 환아
The diagnosis of Kawasaki disease in a 10-year-old girl presenting with cervical lymphadenopathy and fever suggesting retropharyngeal abscess
황소연, 최재연,
소속 상세정보
황소연 ( Hwang So-Yun )
서울대학교 의과대학 응급의학교실
최재연 ( Choi Jae-Yeon )
가천대학교 의과대학 응급의학교실
Abstract
Given that Kawasaki disease (KD) can cause cardiac complications, it is crucial to diagnose and treat the disease in the emergency department. We report a case of a 10-year-old girl who presented to the emergency department with cervical lymphadenopathy and fever. The initial diagnosis was retropharyngeal abscess based on computed tomography findings, but antibiotic therapy failed and she was subsequently diagnosed with KD. After 3 doses of intravenous immunoglobulin along with methylprednisolone and methotrexate, she was discharged on hospital day 21. The cervical lymphadenopathy suggesting retropharyngeal abscess might be an early sign of incomplete or intravenous immunoglobulin-resistant KD.
키워드
Fever; Mucocutaneous Lymph Node Syndrome; Neck Pain; Retropharyngeal Abscess; Vasculitis
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