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Parotitis as an Initial Symptom of Kawasaki Disease

Koji Yokoyama1

  • 1Department of Pediatrics, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.

Case Reports in Pediatrics
|June 9, 2017
PubMed

Insights

Kawasaki disease (KD) can present with parotitis, an inflammation of the salivary glands. This case highlights nonsuppurative parotitis as a potential early symptom of KD in children.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Rheumatology

Background:

  • Kawasaki disease (KD) is a critical pediatric illness primarily affecting children under five.
  • Common symptoms include prolonged fever, rash, and conjunctivitis, but atypical presentations are increasingly recognized.

Observation:

  • A 13-month-old boy presented with unilateral parotitis (inflammation of the parotid salivary gland) as the initial clinical sign.
  • The parotitis was nonsuppurative, meaning it did not involve pus formation.

Findings:

  • The patient was subsequently diagnosed with Kawasaki disease, indicating parotitis can be an early manifestation.
  • This case underscores the importance of considering KD in the differential diagnosis of pediatric parotitis.

Implications:

  • Physicians should consider Kawasaki disease in the differential diagnosis of children presenting with nonsuppurative parotitis.
  • Early recognition and treatment of KD are crucial to prevent coronary artery abnormalities.

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