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Kawasaki disease — RCPSC EM MCQ

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ModeratePaediatric emergenciesKawasaki diseaseRCPSC EM

A 5-year-old has fever for six days, bilateral non-purulent conjunctivitis, cracked lips, cervical lymphadenopathy and swollen hands. He is irritable and has a polymorphous rash. No bacterial focus is found. What is the most likely diagnosis?

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Correct answer: C — Kawasaki disease

Kawasaki disease is suggested by prolonged fever with conjunctivitis, mucosal changes, extremity changes, rash and lymphadenopathy. IVIG and aspirin are time-sensitive to reduce coronary complications.

Reference: Canadian Paediatric Society Kawasaki disease guidance