Table 1 Timeline of Case 1
From: Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania
Dates | Relevant past medical history and interventions | ||
|---|---|---|---|
Previously well child with no chronic disease, growth and development appropriate for age, vaccinations complete as per schedule | |||
Date | Summary from initial and follow up visits | Diagnostic testing | Interventions |
July 2012 – Day 1 | 8 days of fever 1 day of swollen hands and feet Received antibiotics, antimalarials, antihistamines On examination: dry lips, non-pitting edema, cervical nodes Diagnosis – probable sickle cell anaemia | WBC – 36,000/μl, platelets – 380,000/μl, hemoglobin-9.1 g/dl Blood cultures – negative (results on day 5) Sickling test – negative Peripheral smear – normal Reticulocyte count - normal | IV ceftriaxone |
Day 3 | Persistent fever. Maculopapular rash on chest. Diagnosis – probable Kawasaki meeting 3 of 5 criteria | Echocardiogram – normal coronary arteries Repeat blood count: elevated platelets – 644,000/μl | High dose aspirin –80 mg/kg/day |
Day 5 | Persistent fever | Flew to Nairobi for IVIG treatment | |
Day 7 | Fever resolved | Repeat Echo normal | Discharged on low dose aspirin – 5 mg/kg/day |
September 2012 | Follow up visit – no signs and symptoms | Echo – normal WBC and platelets – normal | Aspirin stopped |