A case report: An atypical Kawasaki syndrome following aseptic meningitis in a 9-month old infant

Kawasaki syndrome is an acute, sometimes fatal vasculitis of young children. The ethiology of the illness is unknown, but its clinical and epidemiologic features are most consistent with an infectious cause. We treated a 9-month-old infant with diagnosis of bacterial meningitis. He received wide spectrum antibiotics. He was clinically improved but in 8th day of admission he again developed pharyngitis, diarrhea and high grade fever. He has had raising of erythrocyte sedimentations rate (ESR) and thrombocytosis. According to these clinical manifestation with impression of atypical Kawasaki disease, treatment was started for him and after 24 hours his fever subsided and other clinical signs relieved. On the basis of this case report in the course of bacterial meningitis if the patient developed elevated ESR and fever, Kawasaki syndrome with the other complications of meningitis should be considered.