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, 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, membranous desquamation at the tips of fingers (toes); multiple polymorphic rashes on the skin, without blisters or crusts, appearing concurrently with fever or shortly after; conjunctival congestion of both eyes, but without purulent discharge or tearing, lasting throughout the fever period or longer; diffuse congestion 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 these symptoms, they can be diagnosed with Kawasaki disease. During the acute phase, total white blood cell count and neutrophil standard deviation are elevated. Left shift of nucleated cells. More than half of the patients show mild anemia. Some children only have a small part of the above symptoms and are diagnosed with atypical Kawasaki disease.