Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent high-grade fever for [Number] days, unresponsive to antipyretics. Associated symptoms include bilateral non-exudative conjunctivitis, oropharyngeal changes (erythematous pharynx, strawberry tongue, cracked lips), polymorphous rash, extremity changes (erythema/edema of hands/feet), and cervical lymphadenopathy (>1.5 cm). No alternative diagnosis identified.
Clinical Examination Findings
Vitals: T [Temp], HR [Rate], BP [Pressure]. General: Irritable, febrile. HEENT: Bilateral bulbar conjunctival injection without exudate; erythematous oropharynx, fissured lips, strawberry tongue. Neck: Unilateral cervical lymphadenopathy [Size] cm. Skin: Polymorphous rash (maculopapular/scarlatiniform) on trunk/perineum. Extremities: Indurated edema of hands and feet; periungual desquamation noted. Cardiac: S1/S2 regular, no murmurs.
Treatment Protocol
Initiate IVIG 2g/kg as a single infusion over 10-12 hours. Administer high-dose Aspirin (80-100 mg/kg/day divided q6h) until afebrile for 48 hours, then transition to low-dose Aspirin (3-5 mg/kg/day) for 6-8 weeks. Monitor echocardiogram at diagnosis, 2 weeks, and 6-8 weeks for coronary artery aneurysms.