An adolescent with fever, jaundice, and abdominal pain: An unusual presentation of kawasaki disease

Kelly Nicole Fradin, Hai Jung Helen Rhim

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

A 16-year-old boy presented with a 6-day history of fevers and myalgias and a 4-day history of diffuse crampy abdominal pain. On admission, his sclerae were icteric and he had diffuse abdominal tenderness. Erythrocyte sedimentation rate was elevated to 40; the γ-glutamyl transferase level was elevated to 168 U/L; indirect bilirubin was 5.6 mg/dL; and direct bilirubin was 3.3 mg/dL. During the next 2 days, he developed many stigmata of Kawasaki disease (KD), including conjunctivitis, desquamating rash, mucosal changes, swelling of the hands and feet, and lymphadenopathy. KD is commonly seen in young children but can also occur in adolescents and adults. Providers should be aware that these age-groups are at risk for KD and may present with atypical symptoms. Delays in diagnosis can put these adolescents at increased risk of coronary artery aneurysms, and, accordingly, a high index of suspicion is essential.

Original languageEnglish (US)
Pages (from-to)131-133
Number of pages3
JournalJournal of Adolescent Health
Volume52
Issue number1
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Adolescence
  • Coronary artery aneurysm
  • Jaundice
  • Kawasaki disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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