Rare case of pulmonary involvement in an adult with Kawasaki disease

Publication date: Available online 3 August 2017
Source:Clinical Imaging
Author(s): Joanna G. Escalon, Xiaoping Wu, Ian R. Drexler, Lindsay Lief, Maria Plataki, Michael Bender, James F. Gruden
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.



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