Cervical spine and temporomandibular joint arthritis in a child with Kawasaki disease.
Severe neck pain, stiffness, and torticollis in a child with Kawasaki disease commonly represent aseptic meningitis or lymphadenitis. Here we present an unusual case of severe cervical spine and bilateral temporomandibular joint arthritis in a 5-year-old boy with a relapse of Kawasaki disease and coronary artery ectasia. The patient had a favorable response to a second course of intravenous immunoglobulin G and indomethacin therapy, with complete resolution of his symptoms.
Jen
Melinda
M
Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Brucia
Lauren A
LA
Pollock
Avrum N
AN
Burnham
Jon M
JM
D001168:Arthritis / Q000188:drug therapy / Q000209:etiology*; D002574:Cervical Vertebrae; D002675:Child, Preschool; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D013122:Spinal Diseases / Q000188:drug therapy / Q000209:etiology*; D013705:Temporomandibular Joint Disorders / Q000188:drug therapy / Q000209:etiology*