Atypical Kawasaki disease in an early infant, a diagnostic challenge: Case report

Authors

  • Kaifi Siddiqui
  • Ayub Ansari
  • Ishaq Farooq
  • Sheeba Farooqui

DOI:

https://doi.org/10.32677/ijch.v8i11.3106

Keywords:

Kawasaki disease, Persistent fever, IVIG, Atypical Kawasaki disease

Abstract

A 4.5-month-old girl presented to us with continuous fever for 10 days and loose stools for 2 days. She received short courses of multiple oral antibiotics during this period however, was not relieved. Initial investigations were suggestive of urinary tract infection for which broad spectrum antibiotics were started. However, fever persisted even after 72 h of antibiotics. Blood counts showed persistently high total leukocyte count and increasing platelet count, along with high C-reactive protein. Consequently, a diagnosis of Kawasaki disease (KD) was suspected, which was supported by echocardiographic findings. After she received intravenous immunoglobulins, her fever subsided and lab parameters showed significant improvement. This case highlights an unusual presentation of KD in an uncommonly young age group without much clinical pointers except for persistent fever.

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Published

2021-11-27

Issue

Section

Case Reports

How to Cite

Atypical Kawasaki disease in an early infant, a diagnostic challenge: Case report. (2021). Indian Journal of Child Health, 8(11), 394-396. https://doi.org/10.32677/ijch.v8i11.3106

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