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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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2014/296456 |
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| _version_ | 1832549891520331776 |
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| author | Toru Watanabe |
| author_facet | Toru Watanabe |
| author_sort | Toru Watanabe |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-d95dda48916c4fc0a1c7280c50efa198 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-d95dda48916c4fc0a1c7280c50efa1982025-02-03T06:08:28ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/296456296456Kawasaki Disease with Retropharyngeal Edema following a Blackfly BiteToru Watanabe0Department of Pediatrics, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata 950-1197, JapanWe 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.http://dx.doi.org/10.1155/2014/296456 |
| spellingShingle | Toru Watanabe Kawasaki Disease with Retropharyngeal Edema following a Blackfly Bite Case Reports in Pediatrics |
| 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 |
| url | http://dx.doi.org/10.1155/2014/296456 |
| work_keys_str_mv | AT toruwatanabe kawasakidiseasewithretropharyngealedemafollowingablackflybite |