Crash & Burn: Kawasaki disease

Author: Fiona Mendes / Editor: Yasmin Sultan / Codes: / Published: 21/02/2022

A 5-year-old boy presents with his parents as an unplanned reattender to your ED, after a week of fevers that have not been settling with paracetamol or ibuprofen. Parents report the fevers have been 39-40 C intermittently.

3 days ago he developed a diffuse macular-papular erythematous rash which has been continuing to spread over his chest, back, arms and legs.

Your junior colleague suspects this may be Kawasaki disease and ask you to review this unwell child.

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