Affiliations: Department of Pediatrics, Hurley Medical Center,
Michigan State University, MI, USA | Department of Pediatric Neurology, Hurley Medical
Center, Michigan State University College of Human Medicine, MI, USA | Michigan Eye Institute, MI, USA | Department of Pediatric Infectious Disease, Hurley
Medical Center, Michigan State University College of Human Medicine, MI,
USA
Note: [] Correspondence: Dr. Nida Yousef, Department of Pediatrics,
Hurley Medical Center, Michigan State University, MI, USA. Tel.: +1 810 972
2880; Fax: +1 810 257 9736; E-mail: nyousef1@hurleymc.com
Abstract: We describe a 7-year-old male with a history of fever, headache,
bilateral non-purulent conjunctivitis, and photophobia. Patient was initially
treated for suspected bacterial meningitis with intravenous antibiotics. Due to
lack of clinical response, negative cultures, and evolving signs of Kawasaki
disease, he was treated with one dose of intravenous immunoglobulin. Patient
improved except for the persistence of photophobia and bilateral conjunctival
injection. Eye examination showed bilateral optic neuritis and a visual acuity
of 20/80 in both eyes. Follow up eye examination after 6 weeks showed normal
visual acuity, resolution of conjuctival injection, photophobia, and optic
neuritis. This case highlights the posterior segment involvement in Kawasaki
disease and the need for careful eye examination in patients with Kawasaki
disease who have prolonged photophobia and conjunctival injection.
