{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:58:09Z","timestamp":1790456289544,"version":"4.1.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"DOI":"10.1007\/s00246-026-04494-8","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T07:26:30Z","timestamp":1790407590000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Laboratory Characteristics Distinguishing Node-First Kawasaki Disease from Bacterial Cervical Lymphadenitis: A Systematic Review"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4810-3497","authenticated-orcid":false,"given":"Ken","family":"Okazawa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuna","family":"Hiwatari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Tajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"4494_CR1","doi-asserted-by":"publisher","first-page":"e70007","DOI":"10.1111\/ped.70007","volume":"67","author":"Y Nakamura","year":"2025","unstructured":"Nakamura Y, Yashiro M, Yanagawa H (2025) Epidemiology of Kawasaki disease in Japan in 2021\u20132022: Results of the 27th nationwide survey. Pediatr Int 67:e70007. https:\/\/doi.org\/10.1111\/ped.70007","journal-title":"Pediatr Int"},{"key":"4494_CR2","doi-asserted-by":"publisher","first-page":"e927","DOI":"10.1161\/CIR.0000000000000484","volume":"135","author":"BW McCrindle","year":"2017","unstructured":"McCrindle BW, Rowley AH, Newburger JW et al (2017) Diagnosis, treatment, and long-term management of Kawasaki disease: A scientific statement for health professionals from the American Heart Association. Circulation 135:e927\u2013e999. https:\/\/doi.org\/10.1161\/CIR.0000000000000484","journal-title":"Circulation"},{"key":"4494_CR3","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1016\/j.jpeds.2009.11.042","volume":"156","author":"Y Nomura","year":"2010","unstructured":"Nomura Y, Arata M, Koriyama C et al (2010) A Severe Form of Kawasaki Disease Presenting with Only Fever and Cervical Lymphadenopathy at Admission. J Pediatr 156:786\u2013791. https:\/\/doi.org\/10.1016\/j.jpeds.2009.11.042","journal-title":"J Pediatr"},{"key":"4494_CR4","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1111\/j.1440-1754.2008.01310.x","volume":"44","author":"M Kubota","year":"2008","unstructured":"Kubota M, Usami I, Yamakawa M et al (2008) Kawasaki disease with lymphadenopathy and fever as sole initial manifestations. J Paediatr Child Health 44:359\u2013362. https:\/\/doi.org\/10.1111\/j.1440-1754.2008.01310.x","journal-title":"J Paediatr Child Health"},{"key":"4494_CR5","doi-asserted-by":"publisher","first-page":"e5","DOI":"10.59492\/kd.2023.1.1.e5","volume":"1","author":"J You","year":"2023","unstructured":"You J (2023) Differentiation between Lymph-Node-First Presentation of Kawasaki Disease from Bacterial Cervical Lymphadenitis. Kawasaki Dis 1:e5. https:\/\/doi.org\/10.59492\/kd.2023.1.1.e5","journal-title":"Kawasaki Dis"},{"key":"4494_CR6","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1007\/s00431-025-06700-w","volume":"185","author":"K Okazawa","year":"2026","unstructured":"Okazawa K, Suzuki T, Ono R et al (2026) Early differentiation of Kawasaki disease preceded by cervical lymphadenopathy from bacterial cervical lymphadenitis. Eur J Pediatr 185:37. https:\/\/doi.org\/10.1007\/s00431-025-06700-w","journal-title":"Eur J Pediatr"},{"key":"4494_CR7","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1111\/j.1442-200X.2008.02547.x","volume":"50","author":"S Yanagi","year":"2008","unstructured":"Yanagi S, Nomura Y, Masuda K et al (2008) Early diagnosis of Kawasaki disease in patients with cervical lymphadenopathy. Pediatr Int 50:179\u2013183. https:\/\/doi.org\/10.1111\/j.1442-200X.2008.02547.x","journal-title":"Pediatr Int"},{"key":"4494_CR8","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1016\/j.jpeds.2012.11.064","volume":"162","author":"JT Kanegaye","year":"2013","unstructured":"Kanegaye JT, Van Cott E, Tremoulet AH et al (2013) Lymph-node-first presentation of kawasaki disease compared with bacterial cervical adenitis and typical kawasaki disease. J Pediatr 162:1259\u20131263. https:\/\/doi.org\/10.1016\/j.jpeds.2012.11.064","journal-title":"J Pediatr"},{"key":"4494_CR9","doi-asserted-by":"publisher","first-page":"238","DOI":"10.4250\/jcvi.2018.26.e29","volume":"26","author":"BS Park","year":"2018","unstructured":"Park BS, Bang MH, Kim SH (2018) Imaging and clinical data distinguish lymphadenopathy-first-presenting kawasaki disease from bacterial cervical lymphadenitis. J Cardiovasc Imaging 26:238\u2013246. https:\/\/doi.org\/10.4250\/jcvi.2018.26.e29","journal-title":"J Cardiovasc Imaging"},{"key":"4494_CR10","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.jpeds.2020.05.031","volume":"225","author":"JM Kim","year":"2020","unstructured":"Kim JM, Kim J (2020) Prediction Model for the Differential Diagnosis of Kawasaki Disease and Acute Cervical Lymphadenitis in Patients Initially Presenting with Fever and Cervical Lymphadenitis. J Pediatr 225:30\u201336e2. https:\/\/doi.org\/10.1016\/j.jpeds.2020.05.031","journal-title":"J Pediatr"},{"key":"4494_CR11","doi-asserted-by":"publisher","first-page":"e15050","DOI":"10.1111\/ped.15050","volume":"64","author":"T Muto","year":"2022","unstructured":"Muto T, Masuda Y, Nakamura N et al (2022) Usefulness of brain natriuretic peptide to distinguish Kawasaki disease from cervical lymphadenitis. Pediatr Int 64:e15050. https:\/\/doi.org\/10.1111\/ped.15050","journal-title":"Pediatr Int"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04494-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-026-04494-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04494-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T20:02:35Z","timestamp":1790452955000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-026-04494-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,26]]},"references-count":11,"alternative-id":["4494"],"URL":"https:\/\/doi.org\/10.1007\/s00246-026-04494-8","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,26]]},"assertion":[{"value":"29 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This systematic review was based on previously published studies and did not involve direct contact with human participants. Therefore, no ethical approval was required.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}