@article{Situmorang_Karina_2021, place={Bandung, Indonesia}, title={Atypical Kawasaki Disease in a Two-Year-Old Girl with Initial Presentation of Acute Diarrhea}, volume={3}, url={https://journal.maranatha.edu/index.php/jmh/article/view/3156}, DOI={10.28932/jmh.v3i1.3156}, abstractNote={<p>Kawasaki Disease is a spectrum of idiopathic, self-limited fever disease affecting children<br>under 5 years old. This disorder can be challenging to be diagnosed by a pediatrician since there<br>is no specific diagnostic laboratory test. One atypical Kawasaki Disease case presented with<br>gastrointestinal symptoms, a two-year-old girl was hospitalized with fever, accompanied by non-<br>hemorrhagic diarrhea three days before admission. Physical examination revealed unilateral<br>cervical lymph enlargement and mild-moderate dehydration. Initial laboratory examination<br>result showed thrombocytosis, leukocytosis (shift to the left), and normal routine fecal analysis.<br>The patient was initially diagnosed with acute diarrhea with mild-moderate dehydration. She was<br>treated with a rehydration regimen and antibiotic, but her fever persisted. On the third day of<br>hospitalization, she fulfilled 3 of the classic Kawasaki Disease criteria (conjunctivitis, cracked<br>lips with strawberry tongue, and lymphadenopathy). Further blood work resulted in increased C-<br>reactive protein 43.35 mg/L and ESR 72 mm/hour, while chest X-ray and electrocardiograph<br>were within normal limit. This patient was proceed to Hasan Sadikin General Hospital for further<br>examination and therapy. Atypical Kawasaki Disease can be a puzzling diagnosis due to its<br>uncommon presentations. Clinicians should importantly keep it in mind as a differential diagnosis<br>in patients with prolonged fever.</p> <p><br>Keywords: atypical Kawasaki disease; diarrhea; prolonged fever</p>}, number={1}, journal={Journal of Medicine and Health}, author={Situmorang, Desman and Karina, Permata P}, year={2021}, month={Feb.}, pages={46–60} }