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(Solved): PATIENT CASE #1 10 year old boy with fever for 5 days, rash, conjunctivitis, and cherry-red lips. C ...
PATIENT CASE #1 10 year old boy with fever for 5 days, rash, conjunctivitis, and cherry-red lips. CRP/ESR mildly elevated; negative ID workup * Afebrile for 24 hours off antibiotics; diagnosed with viral illness and discharged home ? Returns in 2 days with recurrent fevers; repeat platelet count 100,000/mm³ ECHO shows mild dilatation of left and right coronary arteries Which is the best option for initial management? A. IVIG with high-dose ASA B. IVIG with high-dose ASA plus corticosteroids C. Corticosteroids D. Infliximab
IVIG with high dose ASA plus corticosteroids Kawasaki disease (KD) is an acute childhood vasculitis that may result in coronary aneurysms. Kawasaki disease is