HT Leung, PS Cheung, HM Lee, VYW Cheng

Abstract

Parotitis is a rare presentation of Kawasaki disease (KD). We reported a three-month-old baby who presented with parotitis and subsequently diagnosed to have KD. Fever and the parotid gland swelling responded well with Intravenous Immunoglobulin and oral aspirin. Unfortunately, he developed persistent multiple right coronary artery aneurysms. Literature reviews showed that patient with KD that presented as parotitis were usually at extreme ages, i.e., less than 3 months or more than 5 years old, and only the parotid gland was affected but not the other salivary glands. They were associated with more coronary artery anomalies and prompt treatment may decrease the chance of long-term consequences to the coronary arteries.