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Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite

We describe a patient with Kawasaki disease (KD) and retropharyngeal edema following a blackfly bite. An 8-year-old boy was referred to our hospital because of a 3-day-history of fever and left neck swelling and redness after a blackfly bite. Computed tomography of the neck revealed left cervical ly...

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Autor principal: Watanabe, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202199/
https://www.ncbi.nlm.nih.gov/pubmed/25349761
http://dx.doi.org/10.1155/2014/296456
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author Watanabe, Toru
author_facet Watanabe, Toru
author_sort Watanabe, Toru
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description We describe a patient with Kawasaki disease (KD) and retropharyngeal edema following a blackfly bite. An 8-year-old boy was referred to our hospital because of a 3-day-history of fever and left neck swelling and redness after a blackfly bite. Computed tomography of the neck revealed left cervical lymph nodes swelling with edema, increased density of the adjacent subcutaneous tissue layer, and low density of the retropharyngeum. The patient was initially presumed to have cervical cellulitis, lymphadenitis, and retropharyngeal abscess. He was administered antibiotics intravenously, which did not improve his condition. The patient subsequently exhibited other signs of KD and was diagnosed with KD and retropharyngeal edema. Intravenous immunoglobulin therapy and oral flurbiprofen completely resolved the symptoms and signs. A blackfly bite sometimes incites a systemic reaction in humans due to a hypersensitive reaction to salivary secretions, which may have contributed to the development of KD in our patient.
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spelling pubmed-42021992014-10-27 Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite Watanabe, Toru Case Rep Pediatr Case Report We describe a patient with Kawasaki disease (KD) and retropharyngeal edema following a blackfly bite. An 8-year-old boy was referred to our hospital because of a 3-day-history of fever and left neck swelling and redness after a blackfly bite. Computed tomography of the neck revealed left cervical lymph nodes swelling with edema, increased density of the adjacent subcutaneous tissue layer, and low density of the retropharyngeum. The patient was initially presumed to have cervical cellulitis, lymphadenitis, and retropharyngeal abscess. He was administered antibiotics intravenously, which did not improve his condition. The patient subsequently exhibited other signs of KD and was diagnosed with KD and retropharyngeal edema. Intravenous immunoglobulin therapy and oral flurbiprofen completely resolved the symptoms and signs. A blackfly bite sometimes incites a systemic reaction in humans due to a hypersensitive reaction to salivary secretions, which may have contributed to the development of KD in our patient. Hindawi Publishing Corporation 2014 2014-10-02 /pmc/articles/PMC4202199/ /pubmed/25349761 http://dx.doi.org/10.1155/2014/296456 Text en Copyright © 2014 Toru Watanabe. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Watanabe, Toru
Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title_full Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title_fullStr Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title_full_unstemmed Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title_short Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite
title_sort kawasaki disease with retropharyngeal edema following a blackfly bite
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202199/
https://www.ncbi.nlm.nih.gov/pubmed/25349761
http://dx.doi.org/10.1155/2014/296456
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