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Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report

BACKGROUND: To the best of our knowledge, cases of Kawasaki disease (KD) occurring at the age of 12 are rare, even in Asia where the incidence of KD is high. We report a case of lymph-node-first presentation of KD (NFKD) in a 12-year-old girl with Mycoplasma pneumoniae (M. pneumoniae) infection who...

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Autores principales: Kim, Nayoung, Choi, Young-Jin, Na, Jae Yoon, Oh, Jae-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082695/
https://www.ncbi.nlm.nih.gov/pubmed/35611136
http://dx.doi.org/10.12998/wjcc.v10.i10.3170
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author Kim, Nayoung
Choi, Young-Jin
Na, Jae Yoon
Oh, Jae-Won
author_facet Kim, Nayoung
Choi, Young-Jin
Na, Jae Yoon
Oh, Jae-Won
author_sort Kim, Nayoung
collection PubMed
description BACKGROUND: To the best of our knowledge, cases of Kawasaki disease (KD) occurring at the age of 12 are rare, even in Asia where the incidence of KD is high. We report a case of lymph-node-first presentation of KD (NFKD) in a 12-year-old girl with Mycoplasma pneumoniae (M. pneumoniae) infection who presented with prolonged fever and lymphadenitis refractory to macrolide antibiotics. CASE SUMMARY: A previously healthy 12-year-old girl presented with fever, myalgia, sore throat, swelling, and tenderness on the right side of the neck. She was initially diagnosed with lymphadenitis caused by M. pneumoniae refractory to macrolide antibiotics. She had elevated brain natriuretic peptide (BNP) levels. Finally, the patient was diagnosed with KD. After receiving intravenous immunoglobulin, the fever resolved, and her symptoms improved. CONCLUSION: NFKD should be differentiated from adolescent lymphadenitis presenting with prolonged fever by checking the BNP level early.
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spelling pubmed-90826952022-05-23 Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report Kim, Nayoung Choi, Young-Jin Na, Jae Yoon Oh, Jae-Won World J Clin Cases Case Report BACKGROUND: To the best of our knowledge, cases of Kawasaki disease (KD) occurring at the age of 12 are rare, even in Asia where the incidence of KD is high. We report a case of lymph-node-first presentation of KD (NFKD) in a 12-year-old girl with Mycoplasma pneumoniae (M. pneumoniae) infection who presented with prolonged fever and lymphadenitis refractory to macrolide antibiotics. CASE SUMMARY: A previously healthy 12-year-old girl presented with fever, myalgia, sore throat, swelling, and tenderness on the right side of the neck. She was initially diagnosed with lymphadenitis caused by M. pneumoniae refractory to macrolide antibiotics. She had elevated brain natriuretic peptide (BNP) levels. Finally, the patient was diagnosed with KD. After receiving intravenous immunoglobulin, the fever resolved, and her symptoms improved. CONCLUSION: NFKD should be differentiated from adolescent lymphadenitis presenting with prolonged fever by checking the BNP level early. Baishideng Publishing Group Inc 2022-04-06 2022-04-06 /pmc/articles/PMC9082695/ /pubmed/35611136 http://dx.doi.org/10.12998/wjcc.v10.i10.3170 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Kim, Nayoung
Choi, Young-Jin
Na, Jae Yoon
Oh, Jae-Won
Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title_full Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title_fullStr Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title_full_unstemmed Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title_short Lymph-node-first presentation of Kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by Mycoplasma pneumoniae: A case report
title_sort lymph-node-first presentation of kawasaki disease in a 12-year-old girl with cervical lymphadenitis caused by mycoplasma pneumoniae: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082695/
https://www.ncbi.nlm.nih.gov/pubmed/35611136
http://dx.doi.org/10.12998/wjcc.v10.i10.3170
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