Article in Japanese

Kawasaki disease followed by inguinal lymphadenopathy：a case report

Yamato HANAWA^{1, 2）}, Naohiro IKOMA^{1, 2）}, Naoaki KOBAYASHI^{1, 2）}

Kawasaki disease typically presents with non-purulent cervical lymphadenopathy, which is a major sign of the disease. In recent years, some cases of Kawasaki disease with lymphadenopathy have been reported other than cervical lymphadenopathy. This study reported a case of inguinal lymphadenopathy associated with Kawasaki disease.
A 7-month-old boy with fever and inguinal lymphadenopathy was referred to this hospital. The result of ultrasonography showed an increase of lymph node blood flow and swelling of multiloculated lymphadenopathy, and antibiotics were administered. On the sixth day of fever, five symptoms of Kawasaki disease (fever, lip redness, BCG scar redness, peripheral extremity changes and bilateral conjunctivitis) were noted. The antibiotics were then stopped and intravenousγ-globulin and aspirin started, and his fever decreased on the following day.
Physicians should be alert to the appearance of Kawasaki disease symptoms in patients with fever and inguinal lymphadenopathy.

---

1）Department of Pediatrics, Koshinkai Shiomidai Hospital
2）Department of Pediatrics, The Jikei University School of Medicine

Key words	Kawasaki disease, inguinal lymphadenopathy, fever, children
Received	August 11, 2023
Accepted	January 19, 2024

36 (2)：133─139,2024