{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:40:47Z","timestamp":1788788447790,"version":"build-2803163510"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe a case of periorbital cellulitis as the manifestation of Kawasaki disease (KD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A single case report.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A 15-month-old child presented with fever and swelling around the eyes, initially diagnosed as orbital cellulitis. On examination, the child exhibited bilateral orbital swelling with conjunctival congestion, strawberry tongue, cracked lips, significant bilateral cervical lymphadenopathy, and perianal excoriation. Although many clinical features were compatible with KD, the diagnostic criteria for KD were not fully met. Despite 48 h of antibiotic therapy, the child continued to experience high-grade fever spikes. Consequently, the diagnosis was reviewed and reclassified as incomplete KD. The child was then administered intravenous immunoglobulin (IVIG) at a dosage of 2 g\/kg over 10 h. Within 48 h of IVIG administration, the fever subsided and the periorbital swelling decreased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The diagnosis of incomplete KD requires a high index of suspicion as the delay in diagnosis may lead to coronary involvement. Any young child with orbital cellulitis unresponsive to antibiotic therapy should be investigated for underlying KD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joco.joco_111_24","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T16:04:29Z","timestamp":1749139469000},"page":"307-309","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Incomplete Kawasaki Disease Presenting as Orbital Cellulitis in a Child"],"prefix":"10.4103","volume":"36","author":[{"given":"Mohammed","family":"Rabbani","sequence":"first","affiliation":[{"name":"Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Jagadish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.G.","family":"Manjunath","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.R.","family":"Nandish","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"R2-20250605","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.idc.2015.05.006","article-title":"The complexities of the diagnosis and management of Kawasaki disease","volume":"29","author":"Rowley","year":"2015","journal-title":"Infect Dis Clin North Am"},{"key":"R3-20250605","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1159\/000357258","article-title":"Orbital cellulitis presenting as a first sign of incomplete Kawasaki disease","volume":"4","author":"Cerman","year":"2013","journal-title":"Case Rep Ophthalmol"},{"key":"R5-20250605","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1542\/peds.101.6.e9","article-title":"Periorbital vasculitis complicating Kawasaki syndrome in an infant","volume":"101","author":"Felz","year":"1998","journal-title":"Pediatrics"},{"key":"R6-20250605","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3928\/0191-3913-20000301-15","article-title":"Kawasaki disease presenting as orbital cellulitis","volume":"37","author":"Sheard","year":"2000","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R7-20250605","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1186\/s12887-021-02979-4","article-title":"Eyelid ptosis and muscle weakness in a child with Kawasaki disease: A case report","volume":"21","author":"Lin","year":"2021","journal-title":"BMC Pediatr"},{"key":"R8-20250605","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1086\/315832","article-title":"IgA plasma cell infiltration of proximal respiratory tract, pancreas, kidney, and coronary artery in acute Kawasaki disease","volume":"182","author":"Rowley","year":"2000","journal-title":"J Infect Dis"}],"container-title":["Journal of Current Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joco.joco_111_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:21:52Z","timestamp":1787836912000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joco.joco_111_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/joco.joco_111_24","relation":{},"ISSN":["2452-2325"],"issn-type":[{"value":"2452-2325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-05-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}