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Cellulitis-Like Rash Associated with Kawasaki Disease
Shinji Itamura1, Yukiko Ishiguchi2, Kentaro Kuwabara1
1Department of Pediatrics, Hiroshima City Hospital, Hiroshima, Japan.
Pediatric Dermatology
|November 19, 2015
Summary
Kawasaki disease (KD) can present with a nonbacterial cellulitis-like rash and fever that doesn't respond to antibiotics. Early consideration of KD is crucial for timely treatment and resolution of symptoms.
Area of Science:
- Pediatrics
- Infectious Diseases
- Rheumatology
Background:
- Kawasaki disease (KD) is a critical pediatric illness affecting blood vessels.
- Early diagnosis and treatment are vital to prevent cardiac complications.
Observation:
- A 5-year-old boy presented with fever and a groin rash resembling cellulitis.
- The rash and fever persisted despite antibiotic treatment, with no identified pathogens.
- Conjunctivitis and other typical Kawasaki disease signs appeared days later.
Findings:
- The patient's symptoms resolved after receiving intravenous immunoglobulin and high-dose aspirin.
- This case highlights nonbacterial cellulitis as a potential, albeit rare, early sign of Kawasaki disease.
Implications:
- Clinicians should consider Kawasaki disease in children with unexplained, antibiotic-resistant cellulitis and fever.
- Prompt diagnosis of Kawasaki disease can prevent severe sequelae, including coronary artery aneurysms.
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