Recurrence of Kawasaki Disease in a Young Child

摘要

A diagnosis of Kawasaki disease (KD) is mainly based on clinical criteria. We discuss the case of a young boywho presented at the ages of 7 months and 13 months with signs and symptoms suggestive of Kawasaki disease. At thefirst episode he was treated for Kawasaki disease and at the second episode for lymphadenitis and fever. A diagnosis ofrecurrent KD was only made retrospectively when he developed thrombocytosis and desquamation of the extremities.Subsequent echocardiograms revealed no abnormalities. It is important that a diagnosis of KD is considered in any childpresenting with a fever of more than 5 days irrespective of the previous medical history.