Large pleural effusion necessitates chest tube drainage in a patient with Kawasaki disease
Article first published online: 16 FEB 2007
Journal of Paediatrics and Child Health
Volume 43, Issue 3, pages 191–192, March 2007
How to Cite
Yavuz, T., Nisli, K., Yilmaz, C. and Dindar, A. (2007), Large pleural effusion necessitates chest tube drainage in a patient with Kawasaki disease. Journal of Paediatrics and Child Health, 43: 191–192. doi: 10.1111/j.1440-1754.2007.01043.x
- Issue published online: 16 FEB 2007
- Article first published online: 16 FEB 2007
- Accepted for publication 24 October 2006.
- Kawasaki disease;
- pleural effusion
Abstract: An 11-month-old Turkish boy was hospitalised with clinical and roentgen graphic evidence of large pleural effusion on the third day of fever and misdiagnosed as parapneumonic effusion. Due to worsening respiratory distress chest tube drainage was performed. Four days later the classic signs of Kawasaki disease appeared. His clinical condition improved gradually and fever subsided after intravenous gammaglobulin and aspirin treatment. A mild transient dilatation of the right coronary artery was seen and returned to the normal diameter within a few weeks. To our knowledge, large pleural effusion in a case of Kawasaki disease, in which chest tube drainage was needed, has not been reported. We describe here a patient with complete Kawasaki disease whose initial presentation mimicked a parapneumonic effusion.