A case of Kawasaki Disease with concomitant leptospirosis

• Main Authors: Foo, Caleb Chuan Yao, Leow, Esther Hui Min, Phua, Kong Boo, Chong, Chia Yin, Tan, Natalie Woon Hui
• Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
• Format: Article
• Language: English
• Published: 2021
• Subjects: Science::Medicine; Kawasaki Disease; Concomitant Leptospirosis
• Online Access: https://hdl.handle.net/10356/147967
• Institution: Nanyang Technological University

A 7-year-old Malay girl was admitted to our institution presenting with fever for 4 days that was persistently above 38°C, with a maximum temperature of 39.9°C. This was associated with a papular and pruritic rash over her chest and limbs for 4 days, as well as a tender right neck swelling for 3 days, diarrhea, and bitemporal headaches for 2 days. This was accompanied by early morning vomiting and nausea, but no blurring of vision or other neurological deficits. She also had red eyes and a dry cough that was not accompanied by coryzal symptoms for 1 day. She initially presented to a family physician and was given 3 days of oral azithromycin. However, her right neck swelling grew in size and redness over the last 2 days prior to admission. It was reported that she did not have contact with any sick persons. However, she had travelled to South India a month ago.