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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
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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

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References

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