Kawasaki Criteria — RACP Paediatrics MCQ

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EasyInfectious DiseaseKawasaki CriteriaRACP Paediatrics

A 6-year-old presents with a 5-day history of fever, bilateral non-purulent conjunctivitis, strawberry tongue, cervical lymphadenopathy (2 cm), and a polymorphous rash. He does NOT have limb changes. He meets how many classic Kawasaki criteria?

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Correct answer: B — 4

Classic Kawasaki disease requires fever ≥5 days plus ≥4 of 5 criteria: bilateral non-purulent conjunctivitis (1), oral changes (2), rash (3), limb changes (4), cervical LN ≥1.5 cm (5). This child has 4 criteria (conjunctivitis, oral, rash, LN). Echocardiography is required regardless.

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