Work

Kawasaki Disease Presenting Uncommonly with Torticollis: A Case Report

Year: 2025

Type: article

Abstract: Kawasaki disease (KD) is an acute, febrile, systemic inflammatory disorder affecting children. A subset of KD patients, often infants or older children, does not meet the classic diagnostic criteria. In such cases, delayed recognition of atypical or incomplete KD can increase the risk of coronary artery complications. We report the case of a previously healthy 7-year-old girl who initially presented with isolated cervical adenitis, without fever, conjunctivitis, or extremity edema. She was initially treated for an infectious disease. After 10 days, additional clinical features emerged, raising suspicion for atypical KD. Subsequent evaluation revealed giant coronary artery aneurysms, necessitating coronary artery bypass graft surgery (CABG), aneurysmectomy, and aneurysmorrhaphy to prevent complications such as aneurysm rupture. She remained asymptomatic during a two-year follow-up period. This case highlights the importance of maintaining a high index of suspicion for KD in children presenting with lymphadenopathy and unusual clinical features, especially when empirical antibiotic therapy is ineffective. Early recognition and treatment are crucial to prevent serious cardiac complications.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.70796

Authors: Hassan Mottaghi Moghaddam Shahri, Faeze Keihanian, Mohammad Hassan Nezafati, Mohammad Saeid Sasan

Institution: Mashhad University of Medical Sciences

Language: English

Topic: Kawasaki Disease and Coronary Complications

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820