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“Unresolving pneumonia” as the main manifestation of atypical Kawasaki disease
  1. Y Uziel1,
  2. P J Hashkes2,
  3. E Kassem1,
  4. G Gottesman1,
  5. B Wolach1
  1. 1Department of Pediatrics, Sapir Medical Center, Kfar Saba, Tel-Aviv University, Sackler School of Medicine, Tel-Aviv, Israel
  2. 2Sieff & Poriya Hospitals, Safed & Tiberias, and Technion Medical School, Haifa, Israel
  1. Correspondence to:
    Dr Y Uziel, Pediatric Rheumatology, Sapir Medical Center, 44281 Kfar Saba, Israel;
    uziely{at}clalit.org.il

Abstract

Two cases of atypical Kawasaki disease (KD) manifested as persistent lobar lung consolidation, prolonged fever, and active inflammatory laboratory markers unresponsive to antibiotic treatment are reported. One of the children developed a giant coronary aneurysm. Atypical KD should be considered in the differential diagnosis of young children with prolonged fever and lobar consolidation unresponsive to antibiotics.

  • Kawasaki disease
  • pneumonia
  • atypical
  • CAA, coronary artery abnormalities
  • EBV, Epstein-Barr virus
  • ESR, erythrocyte sedimentation rate
  • IVIG, intravenous immunoglobulin
  • KD, Kawasaki disease
  • WBC, white blood cell

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