Appendicitis as a Leading Manifestation of Kawasaki Disease in Older Children

被引:9
作者
Huang, Ya-Ning [1 ,2 ]
Liu, Lu-Hang [2 ]
Chen, Jeng-Jung [2 ,3 ]
Tai, Yu-Lin [2 ]
Duh, Yih-Cherng [4 ,5 ]
Lin, Chien-Yu [2 ,6 ]
机构
[1] MacKay Childrens Hosp, Dept Pediat, Taipei 10449, Taiwan
[2] Hsinchu MacKay Mem Hosp, Dept Pediat, Hsinchu 30071, Taiwan
[3] Natl Yang Ming Chiao Tung Univ, Dept Biol Sci & Technol, Hsinchu 30071, Taiwan
[4] Hsinchu MacKay Mem Hosp, Dept Surg, Div Pediat Surg, Hsinchu 30071, Taiwan
[5] MacKay Jr Coll Med Nursing & Management, New Taipei 25245, Taiwan
[6] MacKay Med Coll, Dept Med, New Taipei 25160, Taiwan
来源
CHILDREN-BASEL | 2022年 / 9卷 / 02期
关键词
Kawasaki disease; appendicitis; intravenous immunoglobulin; acute abdomen; coronary aneurysm; ACUTE SURGICAL ABDOMEN; PRESENTING MANIFESTATION; MIMICKING;
D O I
10.3390/children9020193
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Kawasaki disease (KD) is a systematic inflammatory disease with multiple organ involvement. Timely diagnosis and prompt management are essential for successful treatment. KD, with an atypical presentation, remains a diagnostic challenge for physicians. We report a five-year-old boy who presented with appendicitis. An appendectomy was performed; however, his fever persisted. The boy was diagnosed with KD and intravenous immunoglobulin was administered. His symptoms resolved, and he had an uneventful recovery. Furthermore, we performed a literature review with 13 cases identified in the literature. Most cases were male, and the average age was older than typical for KD. In conclusion, KD may present with abdominal complaints and appendicitis may be a rare initial presentation of KD. Multidisciplinary cooperation and high awareness are warranted for timely diagnosis, especially in older children experiencing persistent fever after an appendectomy.
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页数:7
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