A 4-year-old boy is diagnosed with Kawasaki disease on day 7 of fever. Echocardiogram shows no coronary aneurysm. He is hemodynamically stable and

Question

A 4-year-old boy is diagnosed with Kawasaki disease on day 7 of fever. Echocardiogram shows no coronary aneurysm. He is hemodynamically stable and has no contraindication to aspirin. Which of the following is the most appropriate next step in management?

Accepted Answer

Give intravenous immune globulin and aspirin

Answer

Give amoxicillin alone

Answer

Observe until fever resolves

Answer

Start anticoagulation alone

Answer

Schedule tonsillectomy

Kawasaki treatment — USMLE Step 3 MCQ

A 4-year-old boy is diagnosed with Kawasaki disease on day 7 of fever. Echocardiogram shows no coronary aneurysm. He is hemodynamically stable and has no contraindication to aspirin. Which of the following is the most appropriate next step in management?