Unusual Presentation of Pustular Eruption in Kawasaki
Disease Shock Syndrome: A
Case Report:
Parichaya Ngamcherdtrakul MD¹, Jukrapun Siriboriruk MD¹
Affiliation : ¹ Division of Pediatrics, Faculty of Medicine, Burapha University, Chonburi, Thailand
The present study case report described a 46-month-old girl with Kawasaki disease shock syndrome (KDSS) who presented with five days of
fevers, unilateral cervical lymphadenitis, pustular eruption, maculopapular rashes, erythema of palms and soles, conjunctivitis, cracked lips, and
shock. Laboratory results showed elevated ESR & CRP, leukocytosis, normocytic anemia, and transaminitis. Pustular eruption Gram and Wright
stains demonstrated numerous neutrophils. Echocardiogram showed normal results. Fluid resuscitation, broad spectrum antibiotics, inotropic
drug, IVIG, and high dose aspirin were given. Diagnosis of Kawasaki disease was supported by clinical and laboratory features at the acute phase,
in conjunction with periungual peeling of fingers and toes and thrombocytosis at the subacute phase. The patient made a complete recovery.
The present study case showed an unusual pustular eruption in KDSS. Clinicians should consider these presentations to the diagnosis of KDSS and timely prescribed IVIG, to prevent coronary artery aneurysm.
Received 23 March 2021 | Revised 21 June 2021 | Accepted 23 June 2021
doi.org/10.35755/jmedassocthai.2021.07.12706
Keywords :
Pustular eruption; Kawasaki disease shock syndrome
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