Kawasaki disease after respiratory viral infections is often observed but followingHuman Metapneumovirus infection (HMPV) is uncommon. Pulmonary presentation of Kawasaki disease without its classical features, though uncommon, can present as bronchopneumonia refractory to routine supportive care and antibiotics treatment.Lung collapse and pneumothorax as a pulmonary presentation of atypical Kawasaki disease are described very infrequently. We report an infant with atypical Kawasaki disease secondary to Human Metapneumovirus infection where the above pulmonary complications were observed.atypical Kawasaki disease, human metapneumo virus, respiratory distress, spontaneous pneumothorax A 7-month-old previously healthy and developmentally normal female infant was admitted with fever, cough, coryza, and fast breathing for 4 days. At presentation, she was febrile with tachypnea.
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