Kawasaki disease presenting with liver abscess in a 2.5yr old boy- a rare case report and review of literature

Abstract

Kawasaki disease is a self limiting vasculitis mainly affecting small and medium sized vessel. It mostly affects children less than 5 years of age and has genetic predisposition. Genetically susceptible individuals exposed to environmental trigger may develop Kawasaki disease.Clinical presentations are fever, polymorphous rashes along the trunk, strawberry tongue,swollen lymph nodes around neck, a rash in the genitals area, lips, palms, or soles of the feet,and red eyes.serious complications of KD include coronary artery dilatations and aneurysms and is leading cause of acquired heart disease. Prompt recognition of disease and early initiation of treatment with IVIG results in significant reduction in the occurrence of CAA. KD should be considered in the differential diagnosis of all febrile illnesses in young children where fever persists for more than 5-7 days.