Atypical Kawasaki disease

A five year old girl presented with fever for about three weeks, rashes for about 1 week with mild congestion of eyes, redness of mucosa of oropharynx, strawberry tongue, and desquamation of skin in the perineal region. Investigation showed Pleomorphic leukocytosis and thrombocytosis, all bacterial cultures were negative, echocardiography was normal. We had a high suspicion of Kawasaki disease with atypical presentation, therefore it should be quickly suspected in unexplained prolonged febrile children with associated features for early diagnosis and treatment to prevent coronary artery abnormality.