title: Cellulitis-Like Rash Associated with Kawasaki Disease.
abstract: We present the case of a 5-year-old-boy who developed a fever and cellulitis-like groin rash 5 days before developing conjunctivitis and 6 to 7 days before other typical signs of Kawasaki disease (KD) appeared. The cellulitis failed to respond to antibiotics and no pathogens were isolated. His fever and clinical signs resolved with intravenous immunoglobulin and high-dose aspirin after discontinuation of antibiotics. Nonbacterial cellulitis is a rare presenting sign of KD, but in the appropriate clinical setting and population, a diagnosis of KD should be considered when cellulitis and fever fail to respond to an appropriate antibiotic regimen and no pathogen can be isolated.
authors.affiliation: Department of Pediatrics, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Itamura
authors.affiliation: Department of Pediatric Cardiology, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Ishiguchi
authors.affiliation: Department of Pediatrics, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Kuwabara
authors.affiliation: Department of Pediatrics, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Kozo
authors.initials: K
authors.lastname: Yasui
authors.affiliation: Department of Pediatric Cardiology, Hiroshima City Hospital, Hiroshima, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kamada
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D002481:Cellulitis / Q000175:diagnosis* / Q000188:drug therapy; D002675:Child, Preschool; D005076:Exanthema / Q000175:diagnosis; D005334:Fever / Q000188:drug therapy; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D016756:Immunoglobulins, Intravenous; D001241:Aspirin