Incomple Kawasaki disease presenting as cervical adenitis

Kawasaki disease is a systemic and self-limited vasculitis that is the most common cause of acquired heart disease in children. Its diagnosis is based on some different clinical criteria that are often not present or are associated with other more unspecific ones that delay its diagnosis.

We present the case of a 6-year-old patient with Kawasaki disease that presented as a possible infectious adenitis, whose evolution and  repeated inquiries gave the key to the incomplete Kawasaki diagnosis.

Hence, the importance of early diagnosis of this disease, remembering that there are other more unspecific symptoms that may associate it, requiring a high level of suspicion to start treatment early and avoid coronary lesions.