Kawasaki disease: a case report every otolaryngologist should know

Kawasaki disease is the acute febrile vasculitis of childhood, predominantly affecting medium sized arteries with predilection for coronary arteries. The diagnosis is mainly clinical, though investigations are helpful in early detection of complications. We report a case of Kawasaki disease in a 5 year old child who presented to our hospital with conjunctival congestion, lymphadenopathy and fever. When on treatment with antibiotics did not help resolve symptoms, particularly conjunctival congestion Kawasaki disease was suspected. She was treated with a single dose of intravenous immunoglobulin G, over a period of 12 h. She subsequently developed a systolic murmur with grade I mitral regurgitation not a known complication of Kawasaki disease. She responded to the treatment remarkably and promptly thus evading any fatal complication.