Strawberry Tongue in Pediatrics — 4yo Child | Pediatric Infectious | SMLE Q#6145
SMLE Question #6145
Pediatrics
Pediatric Infectious
Objective: OBJ-113
Last updated: February 2026
A 4-year-old boy has 5 days of high fever, bilateral nonpurulent conjunctival injection, diffuse polymorphous rash, bright red oral mucosa with strawberry tongue, and a tender 2.5-cm unilateral cervical lymph node. Kawasaki disease is suspected, and he receives IVIG and aspirin within the first 10 days of illness. Baseline laboratory results are reviewed to estimate the risk of IVIG nonresponse and coronary complications. Which finding most strongly predicts poor response to IVIG therapy?
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