LYCOS RETRIEVER 
Kawasaki Disease: Treatment
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For patients being treated for Kawasaki disease, follow-up care may include two to three months of monitoring with chest x rays, electrocardiography, and echocardiography. Treatment with aspirin is often continued for several months.
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Doctors can manage the symptoms of Kawasaki disease if they catch it early. The symptoms typically disappear within just two days of when treatment begins. Usually, if Kawasaki disease is treated within 10 days of when the first symptoms begin, no heart problems develop.
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Your doctor will want to begin initial treatment for Kawasaki disease as soon as possible after the appearance of signs and symptoms, preferably while your child still has a fever. The goals of initial treatment are to lower fever and inflammation and prevent heart damage.
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Fever in Kawasaki’s disease typically lasts 5 days or longer and is high spiking and remittent, with peak temperatures generally above 102 degrees F and sometimes above 104 degrees F. With appropriate treatment, fever usually resolves within 2 days. Without treatment, the fever persists for a mean of 11 days although it may last as long as 3-4 weeks or longer.
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A combination of aspirin and gammaglobulin given within 10 days of the onset of Kawasaki disease much reduces the chance of heart complications. Without treatment, about 2 in 10 affected children develop an aneurysm. With treatment, this is reduced to about 2 in 100.
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Other conditions have symptoms similar to Kawasaki disease, including measles, Epstein-Barr infections, scarlet fever, drug reactions, toxic shock syndrome, and juvenile rheumatoid arthritis. It is important for a child with symptoms to see a health professional for diagnosis and proper treatment.
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