Abstract
We report a case of Kawasaki disease with high fever and cervical lymphadenitis. A 4-year-old boy admitted for high fever and severe pain of neck had cervical lymphadenopathy, including a fever of over 38°C, and slightly swollen tonsils. Computed tomography (CT) later indicated a retropharyngeal cellulitis. Based on these findings, we treated the boy with antibiotics alone until skin changes typical of Kawasaki disease, reddening and rashes on the palms and soles, appeared.
Kawasaki disease should therefore be considered a possibility in children with cervical lymphadenopathy, presenting symptoms such as high fever resistant to antibiotics.
