ABSTRACT
A 3-year-old girl presents to accident and emergency with a 6-day history of fever and she is over 38°C when measured by her mother with a tympanic thermometer. She has become very miserable for the last few days. She has developed a rash on her trunk, which is blanching, erythematous and confluent. On examination, you also note bilateral non-purulent conjunctivitis, cervical lymphadenopathy, and a red tongue with lip cracking. Her extremities are also erythematous but not peeling. WCC 14×109/L, C-reactive protein 200 mg/L, and erythrocyte sedimentation rate 60 mm/hour. Blood culture is pending. What is the diagnosis?
