Adult-onset Kawasaki disease (mucocutaneous lymph node syndrome) and concurrent Coxsackievirus A4 infection: a case report

Ueda, Yuki; Kenzaka, Tsuneaki; Noda, Ayako; Yamamoto, Yu; Matsumura, Masami

Ueda et al 60 mg/day of loxoprofen, but his condition did not improve. Seven days before admission to our hospital, he was admitted to another hospital for examination of the cause of the fever and erythema in the neck, abdomen, back, and legs. The laboratory test results in the previous hospital included total bilirubin of 3.58 mg/dL, aspartate aminotransferase of 48 U/L, alanine aminotransferase of 61 U/L, γ-glutamyltranspeptidase of 116 U/L, blood nitrogen urea of 45 mg/dL, and creatinine of 3.45 mg/dL, indicating liver and kidney dysfunction. On the 2nd day in the previous hospital, he developed conjunctival congestion. On day 5, desquamation of the hands, fingers, and toes was noted. He was eventually referred to our hospital for close examination and treatment.