Far east scarlet-like fever masquerading as adult-onset Kawasaki disease

Research output: Contribution to journalArticle

Abstract

A previously healthy 31-year-old man was referred to us with refractory septic shock accompanied by bilateral conjunctival congestion and erythema of his right lower limb. Nine days after admission, he had bilateral desquamation of the fingertips, and his presentation satisfied the criteria for Kawasaki disease. A serological examination was positive for Yersinia pseudotuberculosis, and he was diagnosed with Far East scarlet-like fever (FESLF). Interestingly, his 11-month-old baby boy had similar symptoms around the same time, indicating the intrafamilial transmission of the pathogen. We should consider FESLF when we encounter a familial occurrence of systemic manifestations of Kawasaki disease.

Original languageEnglish
Pages (from-to)437-440
Number of pages4
JournalInternal Medicine
Volume57
Issue number3
DOIs
Publication statusPublished - 2018

Keywords

  • Adult-onset Kawasaki disease
  • Domestic infection
  • Far East scarlet-like fever
  • Sepsis
  • Yersinia pseudotuberculosis

ASJC Scopus subject areas

  • Internal Medicine

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