Table 2 Timeline of Case 2
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 (including dates) | Interventions |
August 2013 – day 1 | Fever for 6 days and redness of eyes, lips and mouth. Treated with antimalarials, antibiotics with no relief On examination: dry cracked lips, conjuctival injection, rash at BCG scar site and on the neck Diagnosis: incomplete kawasaki | Platelets: normal – 190,000/μl Malaria negative Echo: normal coronary arteries | High dose aspirin – 90 mg/kg/day |
Day 3 | Fever resolved Swelling of hands and feet Diagnosis: complete kawasaki | Platelets elevated – 743,000/μl CRP elevated: 153 mg/l | Aspirin reduced to 5 mg/kg/day |
Day 7 | Swelling subsided Skin exfoliation | Repeat platelet count: 605,000/μl CRP: reduced to 60 mg/l | Aspirin continued |
Day 30 | Follow up visit – no signs and symptoms | Repeat echo: normal CRP - < 5 mg/l Platelets: normal range | Aspiring stopped |