A 3-year-old has had 6 days of fever, bilateral non-purulent conjunctivitis, red cracked lips, a polymorphous rash, swollen hands and cervical lymphadenopathy. What is the appropriate treatment?
Answer and explanation
Correct answer: A. Intravenous immunoglobulin and aspirin, with echocardiography
- Step 1: Fever for at least five days with four of five principal criteria meets the criteria for Kawasaki disease. Step 2. Early immunoglobulin reduces the incidence of coronary artery aneurysms, and aspirin is added, with echocardiography for assessment. Answer: Intravenous immunoglobulin and aspirin, with echocardiography. Why not the others: Penicillin is for streptococcal disease and does not prevent coronary complications. Steroids alone are not standard. Aciclovir does not treat vasculitis.
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