Patient's question:
The child has a fever of 39°C with a runny nose, sometimes clear and sometimes green. The eyes are red, and the lips are dry and reddish (all have improved now). The symptoms have lasted for about 9 days, and the cause is unknown. Previous treatment and effectiveness: The child was given intravenous drips for 6 days at the hospital, and three...Doctor's answer:
It should be considered that it may be atypical Kawasaki disease. Generally, a fever lasting more than 5 days, unresponsive to antibiotic treatment; in the early stage of acute fever, hard edema of bones and skin, membrane-like desquamation at the tips of fingers (toes); multiple polymorphic rashes on the skin simultaneously or shortly after fever, without blisters or crusts; conjunctival congestion of both eyes, but without purulent discharge or tearing, lasting throughout the fever period or longer; diffuse hyperemia of oral mucosa, dry red lips with cracks, peeling or crusts, papillae of the tongue protruding like a strawberry tongue; swollen cervical lymph nodes, etc. If a patient has all six of the above symptoms, it can be diagnosed as Kawasaki disease. In the acute phase, total white blood cell count and neutrophil standard deviation are elevated. Left shift of nucleus. More than half of the patients show mild anemia. There are also children who only have a small part of the above symptoms and are diagnosed as atypical Kawasaki disease.