How long does it take for fever to subside after taking medication for Kawasaki disease?

Patient's question:

The baby had a fever for a week and took medicine, but it didn't go down. After a thorough check-up at the hospital, it was diagnosed with Kawasaki disease. If the baby had gone to the hospital earlier, it wouldn't be so suffering now. Medicine has already been administered, but after an hour, the fever is still not gone. How long does the fever usually go down after taking medicine for Kawasaki disease?

Doctor's answer:

Kawasaki disease is a disease characterized by systemic vasculitis. The main clinical manifestations in children are fever and rash. Most children with Kawasaki disease have high fever, with temperatures reaching 39 or 40 degrees Celsius. The duration is relatively long, typically less than 5 days. The average duration is 7 to 14 days. The vast majority of children treated with intravenous immunoglobulin (IVIG) experience a rapid drop in temperature to normal levels. However, a very small number of children continue to have recurrent fever even after medication. In such cases, it may be considered to use immunoglobulin again, or to use early corticosteroids for treatment.

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