Abstract
Kawasaki disease (KD) is an acute, febrile systemic inflammatory
disorder of childhood. A limited group of KD patients does not fulfill
the classic criteria of KD. This group are generally infants or older
children. In some cases, delay in diagnosis atypical KD can lead to
coronary artery complication. We report the case of a 7-year-old
previously healthy girl presented by isolated cervical adenitis with no
fever, conjunctivitis or edema who underwent treatment by suspicious to
infection disease. After 10 days some other criteria was expressed and
by suspicious to atypical KD, giant coronary aneurysms was diagnosed and
coronary artery bypass graft surgery (CABG), aneurysmectomy and
aneurysmorrhaphy was done. She had no problem in 2 years follow-up. A
highly suspicious should be considered in children presenting with fever
and unusual manifestations like lymphadenopathy, especially where
empiric antibiotics were ineffective.
Keywords: Kawasaki disease, coronary artery aneurysm, coronary
artery bypass graft surgery