Kawasaki disease is typically a self-limiting condition that is a common cause of pediatric vasculitis [1] and the leading cause of pediatric acquired heart disease in developed countries [2] . The disease most frequently occurs in children aged between 6 months and 5 years [3] and is associated with coronary artery aneurysms in up to 25% of untreated cases [4] . There is currently no laboratory test for diagnosing Kawasaki disease. Rather, diagnosis depends on recognizing established clinical

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... riteria [5] . Unfortunately, atypical manifestations of KD appear to be on the rise, decreasing the likelihood of timely diagnosis and appropriate treatment. Herein, we report an unusual case of Kawasaki disease: a 5-year-old boy who presented with fever and right side cervical lymphadenitis.