Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2023; 11(22): 5391-5397
Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5391
Kawasaki disease with peritonsillar abscess as the first symptom: A case report
Li-Man Huo, Li-Min Li, Hao-Yang Peng, Li-Jia Wang, Zhang-Ying Feng
Li-Man Huo, Department of Pharmacy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Li-Min Li, Department of Paediatrics, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Hao-Yang Peng, Department of Ultrasound, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Li-Jia Wang, Department of Medical Imaging, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Zhang-Ying Feng, Department of Clinical Pharmacology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Author contributions: Feng ZY conceived of the study and revised manuscript; Huo LM and Li LM collected the data and wrote the manuscript; Peng HY and Wang LJ analyzed the corresponding ultrasound and CT results and wrote the manuscript.
Informed consent statement: Written informed consent was obtained from the patient's parent for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: 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. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhang-Ying Feng, PhD, Chief Pharmacist, Department of Clinical Pharmacology, The Fourth Hospital of Hebei Medical University, No. 12 Jiankang Road, Chang’an District, Shijiazhuang 050011, Hebei Province, China. fengzhangying@126.com
Received: May 21, 2023
Peer-review started: May 21, 2023
First decision: June 13, 2023
Revised: June 25, 2023
Accepted: July 17, 2023
Article in press: July 17, 2023
Published online: August 6, 2023
Processing time: 73 Days and 18.3 Hours
Core Tip

Core Tip: Some typical symptoms of a suppurative infection of the deep neck fever, for example elevated white blood cell count, lymph node enlargement, and abnormal changes in the head and neck, may also be atypical manifestations of Kawasaki disease (KD). For cases with a long course of fever and no response to antibiotic treatment, careful observation of symptoms, signs, and cervical imaging findings in the progression of the disease can be used to detect KD with deep neck changes as the first symptom early and avoid the occurrence of serious complications.