Kaifi Siddiqui
A 4.5-month-old girl presented to us with fever for a total of 10 days, loose stools for 2 days .she took short courses of multiple oral antibiotics during this period but was not relieved. A thorough physical examination was unremarkable her initial investigations were suggestive of urinary tract infection for which broad spectrum antibiotics were started. However, fever still persisted even after 72 hrs of antibiotics. Blood counts showed persistently high TLC and increasing platelet count, along with high CRP. Consequently a diagnosis of Kawasaki Disease (KD) was suspected, which was supported by echocardiographic findings. After she received intravenous immunoglobulins, her fever subsided and lab parameters showed significant improvement. This case highlights an unusual presentation of KD in an uncommonly young age group without much clinical pointers except for persistent fever.