clinical aspects of scrub typhus initially misdiagnosed as kawasaki disease

Objectives: to analyze the clinical characteristics of scrub typhus (st) initially misdiagnosed as kawasaki disease (kd) in children. methods: this study was conducted through a review of medical records of children with st from march 2005 to june 2015. results: among 182 incomplete kd patients, 11 patients were st. red lips, strawberry tongue, and bcg site redness were not reported. presence of eschars was reported in 5 patients. group 1 patients (n = 6) were initially treated by using intravenous immunoglobulin (ivig) and among them, one patient had an eschar after ivig use. group 2 patients (n = 5) were also initially diagnosed as kd but were not treated because eschar was detected in four patients before use of ivig. one patient had no eschar but had a positive serologic test before ivig use. conclusions: when children have symptoms similar to kd but without red lips and strawberry tongue, clinicians should search for an eschar and perform serologic tests for st.