Open Access, Peer-reviewed
pISSN 2384-1079
eISSN 2384-1087
    Pediatr Infect Vaccine. 2017 Apr;24(1):60-64. Korean.
    Published online Apr 18, 2017.
    https://doi.org/10.14776/piv.2017.24.1.60
    Copyright © 2017 The Korean Society of Pediatric Infectious Diseases
    Case Report

    Acute Scrotum in an Infant with Kawasaki Disease

    Ha Young Kang, Eun Young Joo, Dong Hyun Kim and Young Jin Hong
      • Department of Pediatrics, Inha University School of Medicine, Incheon, the Republic of Korea.
    • Corresponding author (Email: hongyjin@inha.ac.kr )
    Received September 05, 2016; Revised October 05, 2016; Accepted October 12, 2016.

    Abstract

    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.

    Keywords
    Mucocutaneous lymph node syndrome; Testicular hydrocele; Urological manifestations

    Figures

    Fig. 1
    Clinical course of patient. Abbreviations: IVIG, intravenous immunoglobulin; iv, intravenous.

    Fig. 2
    Both scrotal swelling appeared on day 7. The swelling and crust were more severe in the left side.

    Fig. 3
    Transverse gray-scale ultrasound image of the testicle showed bilateral complex fluid collection with internal echogenic materials in the right scrotal sac and multiple septations in the left scrotal sac. The image also demonstrated bilateral scrotal wall thickening with increased vascularity.

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    MeSH Terms
    Aspirin
    Child
    Coronary Disease
    Diagnosis
    Fever
    Follow-Up Studies
    Humans
    Immunoglobulins
    Infant*
    Male
    Mucocutaneous Lymph Node Syndrome*
    Scrotum*
    Systemic Vasculitis
    Testicular Hydrocele
    Transillumination
    Ultrasonography
    Urological Manifestations
    Metrics
    Share
    Figures
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