Publication:

Kawasaki disease with cavitary pulmonary nodules

Kawasaki disease (KD) is a systemic medium vessel vasculitis syndrome which usually affects the cardiovascular system, can rarely affect renal, respiratory, hepatobiliary, musculoskeletal and central nervous system. This is a report of a 3 years old girl who presented with all the clinical and biochemical features of Kawasaki disease with pulmonary involvement in the form of pulmonary nodules with cavitary changes and normal ECHO. As the child didn’t improve with single dose of IvIg, she was treated with repeat dose of IvIg and steroid. Three months after discharge, her repeat CT Chest showed disappearance of all the pulmonary nodules with fibrosis. This case is reported for the very rare finding of cavitation in the pulmonary nodule with minimal changes in ECHO in KD. In children with prolonged fever and elevated inflammatory parameters, those with pulmonary nodules should be evaluated for KD after ruling out Tuberculosis.