Recurrent kawasaki disease with intussusception:A case report and a review of the literature

Objective:Kawasaki disease(KD)is a multisystemic vasculitic disease that occasionally presents with gastrointestinal tract symptoms.Case presentation:A 2-year-old girl diagnosed with KD 4 months prior was referred to our hospital with complaints of vomiting.She was subsequently diagnosed with intussusception,which was efficiently alleviated through air insufflation.However,despite her improved clinical status,she had a fever unresponsive to antibiotic therapy.Four days later,the patient exhibited typical symptoms of Kawasaki disease.Thus,intravenous immunoglobulin and high-dose aspirin were administrated,and the outcome was satisfactory.Conclusions:In young children who present with crying,vomiting,and passage of bloody stools,color ultrasonography should be performed promptly to avoid missed diagnosis and misdiagnosis.