title: Chikungunya mimicking atypical Kawasaki disease in an infant.
abstract: We report a 4-month-old boy with seizure, a 1-day history of fever, and a generalized maculopapular rash on the trunk and limbs. In very young children, acute chikungunya infection can mimic Kawasaki disease, and its prompt diagnosis, particularly in an endemic area like Singapore, may avoid the administration of costly and unnecessary intravenous immunoglobulin therapy.
authors.affiliation: Department of Paediatrics, National University of Singapore, Singapore.
authors.forename: Yung Seng
authors.initials: YS
authors.lastname: Lee
authors.forename: Swee Chye
authors.initials: SC
authors.lastname: Quek
authors.forename: Evelyn Siew Chuan
authors.initials: ES
authors.lastname: Koay
authors.forename: Julian Wei-Tze
authors.initials: JW
authors.lastname: Tang
mesh_terms: D018354:Alphavirus Infections / Q000175:diagnosis* / Q000473:pathology*; D000914:Antibodies, Viral / Q000097:blood; D002646:Chikungunya virus / Q000276:immunology / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005076:Exanthema; D005334:Fever; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000473:pathology*; D012640:Seizures; D012846:Singapore
chemical_list: D000914:Antibodies, Viral; D007075:Immunoglobulin M