A case report on Kawasaki disease

Kawasaki disease (KD) is a significant pediatric condition characterized by diverse clinical manifestations and potential cardiovascular complications. This case report examines a 4-year- old male child, third in birth order from a consanguineous marriage, presenting with a 14-day history of fever, strawberry tongue, peri-oral and peri-anal excoriation, and skin peeling on the upper limbs. Clinical examination revealed bilateral bulbar conjunctival injection and cervical lymphadenopathy. Laboratory findings indicated systemic inflammation, supporting the KD diagnosis according to established criteria. The child was treated with intravenous fluids (IVF), paracetamol, intravenous immunoglobulin (IVIG), aspirin, and topical calamine lotion. The treatment regimen led to favorable patient outcomes, although the consanguineous background suggests potential genetic predisposition. This case underscores the critical need for timely diagnosis and intervention in KD to prevent severe cardiac complications. It highlights the importance of adhering to diagnostic criteria and prompt therapeutic measures, contributing to improved understanding and management of KD in pediatric practice. Further research is recommended to explore genetic factors influencing KD.