14-month-old girl with prolonged fever, a desquamative rash, and a new left hemiplegia. (April 2022)

• Record Type: Journal Article
• Authors: Tengbeh, George; Mohsenibod, Hadi
• Is Part Of: Tropical doctor. Volume 52:Number 2(2022)
• Page Start: 349
• Page End: 350
• Publication Date: 2022-04
• Subjects: Africa -- measles -- prolonged fever -- Kawasaki disease -- hemiplegia; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/00494755211073271
• Languages: English
• ISSNs: 0049-4755

Abstract

A young child with fever, erythematous rash, and conjunctivitis in sub-Saharan Africa is usually a case of measles. We report a-14-month-old girl with a prolonged fever, a desquamating erythematous rash, and a new left hemiplegia. This was initially diagnosed as measles but her correct final diagnosis was Kawasaki disease (KD); she very rapidly defervesced and regained normal function of her limbs after appropriate treatment. We believe this is the first reported case in Liberia of KD in a child younger than two years of age.