Abstract
INTRODUCTION: Kawasaki disease (KD) is a systemic vasculitis that mainly affects small and medium-sized vessels. OBJECTIVES: To present the case of a child with incomplete KD describing the investigation process until diagnosis. CASE REPORT: A 2-year and 4-month-old female patient with daily two-week persistent fever associated with right unilateral cervical adenomegaly initially treated as bacterial adenitis. Due to the persistence of fever, she returned to the emergency unit with edema in both feet and periungual desquamation in the right hand. After investigation, the diagnosis of incomplete KD was confirmed late. DISCUSSION: KD is one of the differential diagnoses of unknown origin fever. The incomplete form of the disease evolves with the absence of classic clinical signs. Given the severity of the disease and its possible complications, an early treatment it is essential. CONCLUSION: It is necessary to consider Kawasaki disease as a differential diagnosis of fever of unknown origin in children.
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