Chikungunya mimicking atypical Kawasaki disease in an infant.
We report a 4-month-old boy with seizure, a 1-day history of fever, and a generalized maculopapular rash on the trunk and limbs. In very young children, acute chikungunya infection can mimic Kawasaki disease, and its prompt diagnosis, particularly in an endemic area like Singapore, may avoid the administration of costly and unnecessary intravenous immunoglobulin therapy.
Lee
Yung Seng
YS
Department of Paediatrics, National University of Singapore, Singapore.
Quek
Swee Chye
SC
Koay
Evelyn Siew Chuan
ES
Tang
Julian Wei-Tze
JW
D018354:Alphavirus Infections / Q000175:diagnosis* / Q000473:pathology*; D000914:Antibodies, Viral / Q000097:blood; D002646:Chikungunya virus / Q000276:immunology / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005076:Exanthema; D005334:Fever; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000473:pathology*; D012640:Seizures; D012846:Singapore
D000914:Antibodies, Viral; D007075:Immunoglobulin M