A 4-year-old has fever for 6 days, bilateral non-purulent conjunctivitis, a rash, cracked lips and swollen hands. Which treatment is indicated?
Answer and explanation
Correct answer: C. Intravenous immunoglobulin and aspirin, with echocardiography
- Step 1: This is Kawasaki disease.
- Step 2: Early IVIG reduces the risk of coronary artery aneurysms.
Answer
Intravenous immunoglobulin and aspirin, with echocardiography.
Why not the others: Oral aciclovir for presumed herpes infection, followed by discharge home: Acyclovir treats herpes viruses. Oral prednisolone for presumed asthma with a rash and fever, then review: Steroids are not first-line. Oral penicillin V for ten days: Penicillin treats scarlet fever.
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