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Kawasaki Disease — RACP Paediatrics MCQ

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ModerateCardiologyKawasaki DiseaseRACP Paediatrics

A 6-year-old presents with a fever of 39C for 6 days, bilateral non-purulent conjunctival injection, strawberry tongue, cracked red lips, polymorphous rash, and erythema/oedema of the hands and feet. Cervical lymph node 2 cm. What treatment should be given within 10 days of fever onset?

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Correct answer: C — IVIG 2 g/kg as a single infusion plus high-dose aspirin

Kawasaki disease: IVIG 2 g/kg as a single infusion plus high-dose aspirin (30-50 mg/kg/day in divided doses) within 10 days of fever onset reduces coronary artery aneurysm risk from 25% to <5%.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Kawasaki Disease