Rare case of pulmonary involvement in an adult with Kawasaki disease

Clin Imaging. 2018 Jan-Feb:47:1-3. doi: 10.1016/j.clinimag.2017.08.001. Epub 2017 Aug 3.

Abstract

Kawasaki disease is an acute, self-limited, febrile vasculitis typically seen in early childhood. Pulmonary involvement is uncommon and is not part of the conventional diagnostic criteria. We add to the literature a unique case of a 22year-old male with Kawasaki disease and pulmonary involvement. It illustrates the importance of recognizing unusual presentations of Kawasaki disease and highlights the possibility of pulmonary abnormalities on physical and imaging examination. Awareness of such presentations can help avoid delayed diagnosis, prevent the development of coronary aneurysms, and allow careful observation for imaging resolution.

Keywords: Adult; Chest; Computed tomography; Kawasaki; Pulmonary; Vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coronary Aneurysm / etiology
  • Coronary Aneurysm / prevention & control
  • Humans
  • Lung / diagnostic imaging
  • Lung / pathology*
  • Lung Diseases / diagnosis*
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / etiology
  • Male
  • Mucocutaneous Lymph Node Syndrome / complications
  • Mucocutaneous Lymph Node Syndrome / diagnosis*
  • Mucocutaneous Lymph Node Syndrome / diagnostic imaging
  • Mucocutaneous Lymph Node Syndrome / pathology
  • Radiography, Thoracic
  • Young Adult