A 4-year-old boy presents to an Adelaide ED, triage category 3, with 6 days of fever. He has bilateral non-purulent conjunctivitis, cracked lips,

Question

A 4-year-old boy presents to an Adelaide ED, triage category 3, with 6 days of fever. He has bilateral non-purulent conjunctivitis, cracked lips, strawberry tongue, cervical lymphadenopathy and swollen hands. CRP is 115 mg/L and urine has sterile pyuria. What is the most likely diagnosis?

Accepted Answer

Kawasaki disease

Answer

Scarlet fever

Answer

Juvenile idiopathic arthritis

Answer

Toxic shock syndrome

Answer

Measles

Kawasaki disease — ACEM Fellowship MCQ

A 4-year-old boy presents to an Adelaide ED, triage category 3, with 6 days of fever. He has bilateral non-purulent conjunctivitis, cracked lips, strawberry tongue, cervical lymphadenopathy and swollen hands. CRP is 115 mg/L and urine has sterile pyuria. What is the most likely diagnosis?