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FDG-PET imaging in a child with Kawasaki disease: systemic and coronary artery inflammation without dilatation
  1. Margaret H Danchin1,2,
  2. Yara Abo3,
  3. Jonathan Akikusa4,
  4. Peter Francis5,
  5. David Burgner3,6
  1. 1Department of General Medicine, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
  2. 2Vaccine Uptake Research Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia
  3. 3Infectious Diseases Unit, Department of General Medicine, The Royal Children's Hospital, Parkville, Victoria, Australia
  4. 4Department of Rheumatology, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
  5. 5Department of Radiology, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
  6. 6Infection and Immunity Theme, Murdoch Children's Research Institute, Parkville, Victoria, Australia
  1. Correspondence to Dr David Burgner, Infection and Immunity Theme, Murdoch Childrens Research Institute, Parkville, Victoria, Australia; david.burgner{at}mcri.edu.au

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A 3-year-old child presented with 5 days of fever, pruritic erythematous rash, unilateral cervical lymphadenopathy, conjunctival injection, swollen hands and feet, cracked lips and strawberry tongue. He had raised inflammatory markers, hyponatraemia, and hypoalbuminaemia. He received intravenous immunoglobulin (IVIG) and low-dose aspirin for Kawasaki disease (KD). His echocardiogram showed trivial pericardial effusion and prominent coronary arteries (CAs) without dilatation. Fevers and cervical lymphadenopathy persisted and he developed polyarthritis and right-sided torticollis. Ultrasonography and CT demonstrated right cervical lymphadenopathy but no drainable …

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Footnotes

  • MHD and YA contributed equally.

  • Contributors All authors are responsible for reported content. All authors have participated in the concept and design, analysis and interpretation of the content. Drs MHD and DB drafted the manuscript. All authors participated in revising of the manuscript, compilation of the figure panel and have approved the manuscript as submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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