Kawasaki disease with pulmonary manifestations – a case report of three patients

Kawasaki disease (KD) represents systematic vasculitis of unknown etiology that typically occurs in childhood. Its most important complications are coronary artery changes described in 15 to 25% of untreated children. The diagnosis is based on fever criteria longer than five days and at least four additional criteria: polymorphic exanthema, changes in the extremities, mucosal changes in the oral cavity or on the lips, bilateral conjunctival injection and unilateral cervical lymphadenopathy. Affection of lungs is rare manifestation in KD and can present as pneumonia, pulmonary nodules, bronchopneumonia, hydropneumothorax and pleural effusion. During a ten year period, we treated 11 children diagnosed with KD in our clinic, of which KB presented with clinical and image-proven lung involvement during the acute phase.