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Kawasaki disease with coronary risk — RCPSC EM MCQ

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ModeratePaediatric emergenciesKawasaki disease with coronary riskRCPSC EM

CTAS 3: A 4-year-old has 6 days of fever despite antipyretics. Vitals are T 39.0°C, HR 128. Exam shows bilateral non-purulent conjunctivitis, cracked lips, strawberry tongue, swollen hands and a polymorphous rash. Urinalysis has sterile pyuria. What is the most appropriate next step?

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Correct answer: C — Admit for IVIG and aspirin after paediatrics consultation

Fever for at least 5 days with conjunctivitis, mucous membrane changes, extremity changes and rash is Kawasaki disease. Admission for IVIG, aspirin and cardiac evaluation reduces coronary complications.

Reference: Canadian Paediatric Society Kawasaki disease guidance