Intravenous Immunoglobulin (ivig) in Pediatrics — 3yo Child | Pediatric Cardiology | SMLE Q#17207
SMLE Question #17207
Pediatrics
Pediatric Cardiology
Objective: OBJ-283
Last updated: February 2026
A 3-year-old boy has 7 days of fever, bilateral nonexudative conjunctivitis, cracked lips, polymorphous rash, and cervical lymphadenopathy. He was treated for Kawasaki disease with intravenous immunoglobulin (IVIG) and high-dose aspirin. Thirty-six hours after IVIG completion, he remains febrile and lethargic. Echocardiography shows reduced left ventricular systolic function and coronary artery dilatation. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.