Question
After a six-month-old baby has a fever, the blood count (blood test indicators) remains high. How should this be handled? The baby’s symptoms include a fever of 39 degrees, with runny or sometimes greenish nose, red eyes, dry lips with a reddish color, and these symptoms have persisted for about 9 days. The baby had received 6 days of intravenous treatment in the hospital, but the effect was not significant.
Answer
When a baby’s fever persists for more than 5 days, antibiotic treatment is ineffective, and symptoms such as hard swelling of the skin and joints, polymorphic rash, conjunctival congestion of the eyes, diffuse congestion of the oral mucosa, dry and reddish lips, and strawberry tongue occur, it should be considered that it may be atypical Kawasaki disease. Kawasaki disease presents with elevated white blood cell count and granulocyte standard deviation in the acute phase, left shift, and mild anemia in hematology. If some of these symptoms are present, even if they do not completely match the typical symptoms, atypical Kawasaki disease may still be diagnosed.