Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-20T07:29:01.573Z Has data issue: false hasContentIssue false
  • English
  • Français

Peritonsillar abscess – an unusual presentation of Kawasaki disease

Published online by Cambridge University Press:  29 June 2007

K. V. Ravi  and
J. R. Brooks
K. V. Ravi*
Affiliation:
Department of Otolaryngology, Taunton & Somerset NHS Trust, Taunton, Somerset, UK.
J. R. Brooks
Affiliation:
Department of Paediatrics, Taunton & Somerset NHS Trust, Taunton, Somerset, UK.
*
Address for correspondence: Mr K. V. Ravi, F.R.C.S., ENT Department, Musgrove Park Hospital, Taunton TA1 5DA. Fax: 01823 342168
Get access Rights & Permissions [Opens in a new window]

Abstract

Kawasaki disease (KD) is a paediatric illness characterised by prolonged high fever, mucocutaneous lesions and lymphadenopathy. It is potentially fatal as coronary arteritis occurs in up to a third of affected children. We present a seven-year-old child who was admitted to hospital with neck pain and fever. Despite intravenous antibiotic therapy and a quinsy right tonsillectomy on the sixth day after admission, the patient's symptoms persisted. With the appearance of further signs and symptoms the diagnosis of KD was made two days after operation. The patient's symptoms resolved with aspirin and intravenous gammaglobulin therapy. A literature review of the various aspects of KD is presented.

Keywords

Peritonsillar abscessMucocutaneous lymph node syndrome (Kawasaki disease)
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 1 , January 1997 , pp. 73 - 74
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kato, H., Koike, S., Yokoyama, T. (1979) Effect of treatment on coronary artery involvement. Paediatrics 63: 175–179.CrossRefGoogle ScholarPubMed
Kato, H., Koike, S., Yamamoto, M., Ito, Y., Yano, E. (1975) Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome. Journal of Paediatrics 86: 892–898.Google Scholar
Kawasaki, T. (1969) Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of fingers and toes in children (Japanese). Japanese Journal of Allergy 16: 178–222.Google Scholar
Levin, M., Tizard, E. J., Dillon, M. J. (1991) Kawasaki disease: recent advances. Archives of Disease in Childhood 66: 1369–1374.CrossRefGoogle ScholarPubMed
Rothfield, R. E., Arriaga, M. A., Felder, H. (1990) Peritonsillar abscess in Kawasaki disease. International Journal of Paediatric Otorhinolaryngology 20: 73–79.Google Scholar
Rowley, A. H., Gonazalez-Crussi, F., Gidding, S. S., Duffy, C. E., Shulman, S. T. (1987) Incomplete Kawasaki disease with coronary artery involvement. Journal of Paediatrics 110: 409–413.CrossRefGoogle ScholarPubMed
Schaller, J. G. (1996) Vasculitis syndromes. In Nelson Textbook of Paediatrics 15th Edition. Ch. 152. (Behrman, R. E., Kleigman, R. H., Arvin, A. M., eds.), W. B. Saunders Co., Philadelphia, pp 678–681.Google Scholar
Tizard, E. J., Suzuki, A., Levin, M., Dillon, M. J. (1991) Clinical aspects of 100 patients with Kawasaki disease. Archives of Disease in Childhood 66: 185–188.CrossRefGoogle ScholarPubMed