title: Acute scrotum in Kawasaki disease: two case reports and a literature review.
abstract: Acute scrotum is a rare complication of acute Kawasaki disease (KD), less well recognized than other disease manifestations. We describe the cases of two patients, aged 59 months and 19 months, with hydrocele testis in the acute phase of KD. Scrotal ultrasound and trans-illumination were used in the diagnosis of hydrocele testis. One patient underwent eventual surgical intervention. We reviewed the literature for a better understanding of the pathogenesis of scrotal symptoms in acute KD and investigated the clinical importance of hydrocele testis. Careful further clinical observation may elucidate the true incidence of this extracardiac symptoms, thereby clarifying the diagnostic value of this possible complication in acute KD.
authors: Department of Pediatrics, Chiba Kaihin Municipal Hospital, Chiba, Japan.
authors: Toshiaki
authors: T
authors: Jibiki
authors: Takehiko
authors: T
authors: Sakai
authors: Takeshi
authors: T
authors: Saitou
authors: Masaki
authors: M
authors: Kanazawa
authors: Tomoyuki
authors: T
authors: Ide
authors: Mayuko
authors: M
authors: Fujita
authors: Yukiko
authors: Y
authors: Iida
authors: Sayaka
authors: S
authors: Yamazaki
authors: Fumie
authors: F
authors: Ishiwada
authors: Junichi
authors: J
authors: Sato
mesh_terms: D000208:Acute Disease; D002675:Child, Preschool; D005832:Genital Diseases, Male / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D012611:Scrotum
keywords: Kawasaki disease; acute scrotum; hydrocele testis; scrotal swelling