6 month old child – Weight 6.9 kg – Presented with fever for 8 days – Not responding to Antibiotics.
Clinical examination was unremarkable except for red, cracked lips, erythema of tongue and buccal mucosa. Lab work up showed neutrophilic leukocytosis, some rise in platelets (5.1), highCRP ( 96).
Echo revealed Giant saccular aneurysms of LMCA , LAD with a thrombus in LMCA. RCA also had a fusiform aneurysm proximally.