5 Days Of High-grade in Pediatrics — 4yo Child | Pediatric Infectious | SMLE Q#6145
SMLE Question #6145
Pediatrics
Pediatric Infectious
Objective: OBJ-113
Last updated: January 2026
A 4-year-old boy is brought to the pediatric ward with 5 days of high-grade fever, bilateral non-purulent conjunctival injection, diffuse polymorphous rash, bright red oral mucosa with a strawberry tongue, and a tender 2.5-cm unilateral cervical lymph node. Kawasaki disease is suspected, and he is treated with high-dose IVIG and aspirin within the first 10 days of illness. The pediatrician reviews baseline labs to assess the risk of IVIG resistance and coronary complications. Which of the following findings is an indicator of poor response to IVIG therapy in Kawasaki disease?
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