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Kawasaki disease presenting as parotitis in a 3-month-old infant
Hyun-Jeong Do1, Jong-Geun Baek, Hyun-Jung Kim
1Department of Pediatrics, Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
Korean Circulation Journal
|December 10, 2009
Abstract:
A male infant aged 3 months and 1 week had persistently high fever with parotitis that was unresponsive to antibiotics. Mumps was identified by serologic study, but he was finally diagnosed by clinical features as having Kawasaki disease and echocardiographic findings on the 9th day of fever. Parotitis, which is unresponsive to antibiotics, should be considered Kawasaki disease even though typical symptoms are not present.
Insights
Antibiotic-resistant parotitis in infants may indicate Kawasaki disease, even without typical symptoms. Early diagnosis is crucial for timely treatment and preventing complications.
Area of Science:
- Pediatrics
- Infectious Diseases
- Cardiology
Background:
- Kawasaki disease is a leading cause of acquired heart disease in children.
- Parotitis is an uncommon but possible presentation of Kawasaki disease.
- Mumps can present with parotitis, complicating differential diagnosis.
Purpose of the Study:
- To highlight the importance of considering Kawasaki disease in infants with persistent, antibiotic-unresponsive parotitis.
- To emphasize the diagnostic challenges when typical Kawasaki disease criteria are not met.
Main Methods:
- Case report of a 3-month-old male infant with persistent fever and parotitis.
- Serologic testing for mumps.
- Clinical diagnosis of Kawasaki disease based on evolving features and echocardiography.
Main Results:
- The infant presented with high fever and parotitis unresponsive to antibiotics.
- Initial serology suggested mumps, but clinical and echocardiographic findings confirmed Kawasaki disease on day 9 of fever.
- Diagnosis was established despite the absence of classic Kawasaki disease symptoms.
Conclusions:
- Persistent, antibiotic-unresponsive parotitis in infants warrants consideration for Kawasaki disease.
- Clinical vigilance and echocardiography are essential for diagnosing Kawasaki disease, especially in atypical presentations.
- Early recognition of Kawasaki disease is critical for appropriate management and cardiovascular health.
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