Recurrent kawasaki disease : a case report / Roselle Catherine Y. Madamba.

Includes bibliographical references.

Abstract: A.R., a 3 year old female was diagnosed with Kawasaki disease four months prior to admission. She was treated with IVIG at 2g/kg and aspirin initially at 80mg/kg/day and then maintained at 5mg/kg/day. Pertinent physical examination findings were fever for 5 days, bilateral bulbar conjunctival injection, dry, red lips with strawberry like tongue with diffuse erythematous rash confined mostly in the perianal area. A.R. became afebrile after 2 days of IVIG infusion and was discharged improved. Kawasaki disease usually presents with high grade fever for at least five days which does not respond to antibiotics and persits for 1 to 2 weeks or longer. Four months after discharge, A.R. was brought back to the emergency room with a chief complaint of fever for 5 days associated with bilateral bulbar conjunctival injection, hyperemic pharyngeal wall, dry cracled lips with hyperemic tongue, unilateral palpable cervical lymph node, erythematous maculopapular rashes on the body, extremities, perineal and inguinal area with edematous hands and feet. Recurrent Kawasaki disease was considered. This paper aims to discuss recurrent Kawasaki disease in a 3 year old female, its diagnosis, management and prognosis.

Research - Department of Child Health