Deep Neck Inflammation: Probable Kawasaki Disease in Korean Children

임수연; 이나영; 한승범; 정대철; 강진한

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자료유형: 학술저널

저자정보: 임수연 이나영 한승범 정대철 강진한

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제13권 제1호

발행연도: 2020.1

수록면: 77 - 82 (6page)

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Objectives. Deep neck infections (DNIs) can cause life-threatening complications, and prompt diagnosis and management are necessary. Kawasaki disease (KD) may be accompanied by deep neck inflammation; making it difficult to distinguish from DNIs. This study was performed to evaluate clinical features and outcomes of children with parapharyngeal and retropharyngeal inflammation. Methods. Medical records of the children diagnosed with parapharyngeal and retropharyngeal cellulitis or abscess using cervical computed tomography (CT) between 2013 and 2017 were retrospectively reviewed. Results. A total of 47 children were diagnosed with parapharyngeal and retropharyngeal inflammation. Eleven (23.4%) of them were eventually diagnosed with KD, and 36 (76.6%) were diagnosed with DNIs. There were no significantly different clinical and laboratory characteristics on admission between children diagnosed with KD and DNIs; however, significantly more children with KD were febrile for ≥3 days after admission compared to those with DNIs (P=0.009). Deep neck abscesses on CT were observed in 16 children with DNIs (44.4%) and in no child with KD (P=0.009). Among the 36 children with DNIs, 30 (83.3%) were cured with antibiotic therapy only. Conclusion. A quarter of children presenting with deep neck inflammation were diagnosed with KD. KD should be considered in children showing deep neck inflammation unresponsive to empirical antibiotic therapy after 3 days, especially in those presenting with deep neck cellulitis rather than deep neck abscess.

참고문헌 (21)

참고문헌 신청

Vieira F / 2008 / Deep neck infection / Otolaryngol Clin North Am 41(3):459~483

Kirse DJ / 2001 / Surgical management of retropharyngeal space infections in children / Laryngoscope 111(8):1413~1422

McCrindle BW / 2017 / Diagnosis, treatment, and long-term management of Kawasaki disease : a scientific statement for health professionals from the American Heart Association / Circulation 135(17):e927~99

Tona R / 2014 / Risk factors for retropharyngeal cellulitis in Kawasaki disease / Auris Nasus Larynx 41(5):455~458

Nomura O / 2014 / Comparison of patients with Kawasaki disease with retropharyngeal edema and patients with retropharyngeal abscess / Eur J Pediatr 173(3):381~386

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