A 3-year-old boy is brought to the physician by his mother because of fever for 6 days. Yesterday, his mother noted a rash on his lower body . His temperature is 38.9°C (102°F) pulse is 140/min, and respirations are 30/min. Examination shows right-sided anterior cervical lymphadenopathy, bilateral conjunctival injection, erythema of the tongue and lips, and a maculopapular rash involving the hands, feet, perineum, and trunk. The remainder of the examination is unremarkable. Which of the following is the most likely diagnosis?

Question

A 3-year-old boy is brought to the physician by his mother because of fever for 6 days. Yesterday, his mother noted a rash on his lower body . His temperature is 38.9°C (102°F) pulse is 140/min, and respirations are 30/min. Examination shows right-sided anterior cervical lymphadenopathy, bilateral conjunctival injection, erythema of the tongue and lips, and a maculopapular rash involving the hands, feet, perineum, and trunk. The remainder of the examination is unremarkable.  Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: The patient presents with signs and symptoms of Kawasaki disease, an acute vasculitis that primarily affects young children and is characterized by a high fever for at least 5 days, desquamative rash, conjunctivitis, mucositis, cervical lymphadenopathy, and erythema and edema of the distal extremities.

A 3-Year-Old Boy Is Brought to the Physician by His