A febrile child with a 'bunch of grapes' appearance on neck ultrasonography. (April 2021)

• Record Type: Journal Article
• Authors: Patra, Pratap Kumar; Banday, Aaqib Zaffar; Bhagat, Naveen; Vignesh, Pandiarajan; Singh, Surjit
• Is Part Of: Tropical doctor. Volume 51:Number 2(2021)
• Page Start: 233
• Page End: 235
• Publication Date: 2021-04
• Subjects: Cluster of grapes -- Kawasaki disease -- lymphadenitis -- node-first -- ultrasonography; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/0049475520975943
• Languages: English
• ISSNs: 0049-4755

Abstract

Kawasaki disease is a common childhood vasculitis. Fever and lymphadenopathy, at times, are the only clinical presentation of Kawasaki disease, which mimics infectious lymphadenitis, especially, when other features are yet to evolve. In such a scenario, ultrasonography of cervical lymph nodes can help to differentiate Kawasaki disease lymphadenitis from infectious lymphadenitis. We present one such patient who was initially diagnosed as having bacterial lymphadenitis; however, ultrasonography of the neck lymph nodes showed typical imaging features described with Kawasaki disease lymphadenitis.