A 4-year-old boy diagnosed with a case of viral fever by a local practitioner continues to have a fever for 7 days .O/E there was erythematous oral mucosa and tongue, congested conjunctiva, and peeling of skin on palms. What is the most serious complication of this disease?
Coronary artery aneurysm
Ans. D. Coronary artery aneurysm
Explanation: Fever more than 5 days, strawberry tongue, non-purulent conjunctivitis, polymorphous rash, skin excoriations are all very classic of Kawasaki disease. The most serious and important preventable complication is the development of coronary aneurysms. Early diagnosis and prompt administration of IVIG and aspirin are thus warranted in all cases.