Kawasaki Disease presentation by an uncommon presentation of torticollis: A case report

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.