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<< Evidence-Based Management Of Kawasaki Disease In The Emergency Department

Case Presentation

A 3-year-old girl presents to the emergency department for evaluation of fever. Her mother reports that the child has had a fever for the past 5 days, with temperatures ranging from 38.3°C (101°F) to 40°C (104°F). The child has some rhinorrhea, but no significant cough. She has been complaining of abdominal pain and had 2 episodes of nonbilious vomiting in the last 2 days. The patient’s ill appearance and history of prolonged fever are concerning for the possibility of Kawasaki disease, but you aren’t sure that she meets all of the criteria. What about diagnostic imaging tests? Should you start any medications? Are there any other complications that you should be concerned about?

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