title: Lung parenchymal consolidation as an uncommon presentation and cause of delayed diagnosis in atypical Kawasaki syndrome.
abstract: We report three patients who initially showed prolonged fever, lung parenchymal consolidation and laboratory findings of pneumonia, and secondarily presented a clinical picture ascribed to Kawasaki syndrome. Two of these children developed coronary artery dilations, which regressed upon echocardiography after 12 months. In the case of infants showing broncho-pulmonary abnormalities with slow resolution, active inflammatory parameters and high fever persistence, pediatricians should consider atypical Kawasaki syndrome as a possible alternative diagnosis.
authors.affiliation: Department of Pediatrics, Cardarelli National Hospital, 80131 Naples, Italy. francesco.demaddi@ospedalecardarelli.it
authors.forename: Francesco
authors.initials: F
authors.lastname: De Maddi
authors.forename: Roberto
authors.initials: R
authors.lastname: Cinelli
authors.forename: Donato
authors.initials: D
authors.lastname: Rigante
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Mazzarella
authors.forename: Paolo
authors.initials: P
authors.lastname: Siani
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis* / Q000473:pathology; D011859:Radiography; D013997:Time Factors