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KMID : 1040320170240010060
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Pediatric Infection & Vaccine
2017 Volume.24 No. 1 p.60 ~ p.54
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Acute Scrotum in an Infant with Kawasaki Disease
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Kang Ha-Young
Joo Eun-Young
Kim Dong-Hyun
Hong Young-Jin
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Abstract
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Kawasaki disease (KD) is a systemic vasculitis that occurs predominantly in infants and young children. The etiology of KD is unknown and coronary heart disease is a major complication of KD. Acute scrotum is a rare complication of acute KD, and not as well recognized as other manifestations of the disease. We report a 2-month-old boy with acute scrotum in the acute phase of KD. He was treated with intravenous immunoglobulin (total 2 g/kg) and aspirin (50 mg/kg/day). The treatment was effective in resolving his fever and other clinical symptoms, but 2 days after starting treatment he experienced scrotal swelling. Scrotal ultrasound and transillumination were used in the diagnosis of acute scrotum. After 2 months, a follow-up testicular ultrasound revealed a remission of the acute scrotum. Subsequently, he has been followed up for KD.
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KEYWORD
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Mucocutaneous lymph node syndrome, Testicular hydrocele, Urological manifestations
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