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Large pleural effusion necessitates chest tube drainage in a patient with Kawasaki disease
Author(s) -
Yavuz Taner,
Nisli Kemal,
Yilmaz Ceren,
Dindar Aygun
Publication year - 2007
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2007.01043.x
Subject(s) - medicine , kawasaki disease , pleural effusion , parapneumonic effusion , respiratory distress , surgery , chest tube , effusion , radiology , artery , pneumothorax , pleural fluid
An 11‐month‐old Turkish boy was hospitalised with clinical and roentgen graphic evidence of large pleural effusion on the third day of fever and misdiagnosed as parapneumonic effusion. Due to worsening respiratory distress chest tube drainage was performed. Four days later the classic signs of Kawasaki disease appeared. His clinical condition improved gradually and fever subsided after intravenous gammaglobulin and aspirin treatment. A mild transient dilatation of the right coronary artery was seen and returned to the normal diameter within a few weeks. To our knowledge, large pleural effusion in a case of Kawasaki disease, in which chest tube drainage was needed, has not been reported. We describe here a patient with complete Kawasaki disease whose initial presentation mimicked a parapneumonic effusion.