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Kawasaki disease with retropharyngeal edema: case series from a single center experience

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Author:
No author available
Journal Title:
Chinese Medical Journal
Issue:
14
DOI:
10.1097/CM9.0000000000000321
Key Word:
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Abstract: To the Editor:Kawasaki disease (KD) and its classical diagnostic criteria are well known to pediatricians nowadays.However,KD can present with substantial overlap of clinical picture with many infectious diseases.Recently it is increasingly recognized that KD can present as pyogenic abscess-like formation with retropharyngeal edema (RPE).As estimated by Yoskovitch et al,[1] 5% of KD presented with some forms of deep neck infection.They could be in various forms,such as peritonsillar abscess,parapharyngeal or retropharyngeal abscess-like edema or acute mastoiditis.Not only do they mimic retropharyngeal abscess clinically,some with incomplete presentation may also contribute to delayed diagnosis and hence timely treatment.In this case series,we reported our experience in managing 24 cases of KD presenting with RPE.

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