A 4-year-old girl presents as triage level 2 with 6 days of fever, bilateral nonpurulent conjunctivitis, cracked lips, swollen hands, and a

Question

A 4-year-old girl presents as triage level 2 with 6 days of fever, bilateral nonpurulent conjunctivitis, cracked lips, swollen hands, and a polymorphous rash. Platelets are 620,000/microL and CRP is elevated. Which of the following is the most appropriate next step in management?

Accepted Answer

IV immune globulin and high-dose aspirin with echocardiography

Answer

Topical antihistamine eye drops

Answer

Amoxicillin for scarlet fever and discharge

Answer

Oral acyclovir alone

Answer

Observation until fever reaches 10 days

Kawasaki disease — ABEM Board MCQ

A 4-year-old girl presents as triage level 2 with 6 days of fever, bilateral nonpurulent conjunctivitis, cracked lips, swollen hands, and a polymorphous rash. Platelets are 620,000/microL and CRP is elevated. Which of the following is the most appropriate next step in management?