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 

机构地区：[1]Department of Pediatrics,Hanyang University Seoul Hospital,Seoul 04763,South Korea [2]Department of Pediatrics,Hanyang University Guri Hospital,Guri-si 11923,South Korea [3]Department of Pediatrics,Hanyang University School of Medicine,Seoul 04763,South Korea

出　　处：《World Journal of Clinical Cases》2022年第10期3170-3177,共8页世界临床病例杂志

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 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.

关 键 词：LYMPHADENOPATHY Mycoplasma pneumoniae Node-first presentation of Kawasaki disease Case report 

分 类 号：R725.4[医药卫生—儿科] R725.6[医药卫生—临床医学]