Fever and rash: Infection or Kawasaki syndrome?

Kawasaki syndrome (KS) is a common and serious disorder that most often affects children aged 1 to 8 years but mimics a range of other diseases of childhood. Diagnosis of KS is based on physical examination findings coupled with the exclusion of other causes. To provide optimal care for patients, it is important to be aware of the differential diagnosis of KS. We report a case of a 4-year-old boy who presented with persistent fever and cervical lymphadenitis; later, mucous membrane changes, rash, and conjunctival injection characteristic of KS developed.