A 2-year-old girl with a high, relapsing fever of 9-day duration associated with marked irritability, non-purulent conjunctivitis, red cracked lips, swollen and erythematous hands... A 2-year-old girl with a high, relapsing fever of 9-day duration associated with marked irritability, non-purulent conjunctivitis, red cracked lips, swollen and erythematous hands and feet, and a maculopapular erythematous rash on the trunk and extremities. Which of the following is the most likely diagnosis? A. Epstein bar viral infection B. Kawasaki disease C. Rubella infection D. Measles
Understand the Problem
The question describes a clinical scenario of a 2-year-old girl presenting with a constellation of symptoms including fever, irritability, conjunctivitis, changes in the lips, hands, and feet, and a rash. We are asked to choose the most likely diagnosis from the given options. Therefore, the question assesses the a test taker's knowledge of infectious diseases and their ability to correlate clinical presentations.
Answer
B. Kawasaki disease
The final answer is B. Kawasaki disease
Answer for screen readers
The final answer is B. Kawasaki disease
More Information
Kawasaki disease is a type of vasculitis (inflammation of blood vessels). Symptoms include fever, rash, red eyes, and red, cracked lips.
Tips
A common mistake is confusing Kawasaki disease with other childhood illnesses that cause fever and rash. Consider Kawasaki disease in children with fever lasting more than four days along with other characteristic symptoms.
Sources
- Kawasaki disease - Symptoms and causes - Mayo Clinic - mayoclinic.org
- Kawasaki Disease - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
- Kawasaki Disease: Symptoms, Diagnosis and Treatment - nationwidechildrens.org
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