Kawasaki Disease FAQs - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Kawasaki's disease
Sir, now it has been recommended that in Kawasaki disease the anti-inflammatory dose of aspirin been reduced to 50mg/kg/day in 4 divided doses; almost half of the dose that we have been using so far. Has anyone tried this and is the effect and outcome similar? Thank you. Check Out the Answer
Question Category : Kawasaki's disease
In managing a patient with Kawasaki disease ,when is the best time to start the aspirin? -Is it after the IVIG dose or simultaneously? and when is the best time to reduce the dose of the aspirin and when to stop. 2) How should one manage oculogyric crisis in pediatric age group? Is benzhexol the drug of choice or benedryl will do? Check Out the Answer
Question Category : Kawasaki's disease
We often get children having fever for 2 to 7 days who also satisfy 2 or 3 criteria for Kawasaki disease like conjunctival injection, oral mucosal changes, transient rash, desquamation of palms/ soles etc. But they are not very ill looking and also do not show typical lab findings like high ESR & platelet count. Echo in such children often shows minimal or mild dilatation of coronary arteries. Should they be given a diagnosis of atypical Kawasaki disease and treated with IVIG? As the size of coronary A on echo is rather a subjective finding depending on the operator, would this not result in overtreatment of many children having just viral exanthemic fevers? Kindly enlighten. Check Out the Answer

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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