Recurrence of Kawasaki Disease in a Young Child

Abstract

A diagnosis of Kawasaki disease (KD) is mainly based on clinical criteria. We discuss the case of a young boy who presented at the ages of 7 months and 13 months with signs and symptoms suggestive of Kawasaki disease. At the first episode he was treated for Kawasaki disease and at the second episode for lymphadenitis and fever. A diagnosis of recurrent KD was only made retrospectively when he developed thrombocytosis and desquamation of the extremities. Subsequent echocardiograms revealed no abnormalities. It is important that a diagnosis of KD is considered in any child presenting with a fever of more than 5 days irrespective of the previous medical history.