Fig. 1
Recommended clinical guideline for the management of Kawasaki disease. Adapted from reference 31. *Treatment can be commenced before 5 days of fever if sepsis excluded; treatment should also be given if the presentation is > 10 days from fever onset if there are signs of persistent inflammation; **Kobayashi risk score ≥5 points X Refer to paediatric cardiologist; ¶ Other specific interventions such as PET scanning, addition of calcium channel blocker therapy, and coronary angioplasty at discretion of paediatric cardiologist. + Other immunomodulators may include ciclosporin. ♥For infants, Z score for internal coronary artery diameter >7 based on Montreal normative http://parameterz.blogspot.co.uk/2010/11/montreal-coronary-artery-z-scores.html