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Kawasaki disease — ABEM Board MCQ

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ModeratePediatric emergenciesKawasaki diseaseABEM Board

A 3-year-old boy arrives with 6 days of fever and rash. Triage acuity is ESI 3; T 102.4 F, HR 128/min. He has bilateral nonpurulent conjunctivitis, cracked lips, strawberry tongue, swollen hands, and cervical lymphadenopathy. He is irritable. Which of the following is the most appropriate next step in management?

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Correct answer: D — Admit for IVIG and aspirin therapy with echocardiography

Kawasaki disease requires IVIG, aspirin therapy per specialist guidance, and cardiac evaluation to reduce coronary aneurysm risk.

Reference: AHA Kawasaki disease guideline