Abstract
A 7-kilogram 3-month-old boy was hospitalized with a 5-day history of high fever (>103°F), macular rash, strawberry tongue, and persistent irritability. A diagnosis of Kawasaki disease was made and the patient received 2 doses of intravenous immunoglobulin, prednisone, and high-dose aspirin. His platelet count was significantly elevated to 1.4 million/μL. Clinical examination revealed mild swelling of his fingertips and a diffuse macular rash. There was cervical and inguinal lymphadenopathy. The precordium was quiet and the first and second heart sounds were normal with no cardiac murmurs. The lungs were clear to auscultation and the abdominal examination was normal. A chest …
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