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

作     者：Nayoung Kim Young-Jin Choi Jae Yoon Na Jae-Won Oh 

作者机构：Department of PediatricsHanyang University Seoul HospitalSeoul 04763South Korea Department of PediatricsHanyang University Guri HospitalGuri-si 11923South Korea Department of PediatricsHanyang University School of MedicineSeoul 04763South Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第10期

页      面：3170-3177页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Lymphadenopathy Mycoplasma pneumoniae Node-first presentation of Kawasaki disease Case report 

摘      要：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 *** report a case of lymph-node-first presentation of KD(NFKD)in a 12-year-old girl with Mycoplasma pneumoniae(***)infection who presented with prolonged fever and lymphadenitis refractory to macrolide *** SUMMARY A previously healthy 12-year-old girl presented with fever,myalgia,sore throat,swelling,and tenderness on the right side of the *** was initially diagnosed with lymphadenitis caused by *** refractory to macrolide *** had elevated brain natriuretic peptide(BNP)***,the patient was diagnosed with *** receiving intravenous immunoglobulin,the fever resolved,and her symptoms *** NFKD should be differentiated from adolescent lymphadenitis presenting with prolonged fever by checking the BNP level early.