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Kawasaki Disease (cont.)


When should I seek medical care for Kawasaki disease?

Most pediatricians and associated health care professionals like to be aware of any significant fever in any child, though a visit to the office may not be necessary. If your child has a fever that lasts longer than a few days, it is important to consult with your child's doctor. The doctor will probably want to evaluate your child to check for a source of the fever. If your child has fever and develops any of the common signs and symptoms of Kawasaki disease listed above, it is important to discuss this with your doctor immediately. Obviously, if your child appears dehydrated and is not passing urine normally, he/she needs to be evaluated urgently.

How is Kawasaki disease diagnosed?

There are no specific tests for Kawasaki disease, however, your doctor may check for other causes of fever. These might include throat cultures, urine cultures, blood counts, electrocardiogram (ECG), and echocardiogram (ECHO) to evaluate your child's coronary arteries.

What is the follow-up for Kawasaki disease?

Once Kawasaki disease is diagnosed, it is imperative to treat within 10 days of onset of the child's fever. This is due to the fact that the damage to the coronary arteries usually occurs after the 10th day of illness during the subacute phase of the disease. The current therapy includes admission to a hospital and administration of intravenous immunoglobulin (IVIG or gammaglobulin) and high-dose aspirin until the child's fever resolves, followed by low-dose aspirin for six to eight weeks until a normal ECHO has been obtained. If a child has any evidence of coronary artery abnormality, a pediatric cardiologist continues to clinically follow them.

Medically Reviewed by a Doctor on 6/20/2016

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