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Kawasaki disease — ABEM Board MCQ

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ModeratePediatric emergenciesKawasaki diseaseABEM Board

A 4-year-old boy arrives as ESI 3 with fever for 6 days, conjunctival injection, cracked lips, cervical lymphadenopathy, rash, and swollen hands. Vitals are stable. Which of the following is the most likely diagnosis?

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Correct answer: C — Kawasaki disease

Prolonged fever with conjunctivitis, mucous membrane changes, rash, extremity changes, and lymphadenopathy suggests Kawasaki disease.

Reference: AHA Kawasaki disease scientific statement