Which procedures are indicated in the workup of Kawasaki disease?

Updated: Jul 29, 2018
  • Author: Tina K Sosa, MD; Chief Editor: Russell W Steele, MD  more...
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Arthrocentesis may be indicated in patients with joint involvement to rule out septic arthritis. Joint fluid analysis in patients with KD typically shows numerous white blood cells, ranging from 125,000-300,000/µL, with normal glucose levels and negative culture results.

Lumbar puncture may be indicated in patients with clinical signs suggesting meningitis. In children who undergo lumbar puncture, 50% show evidence of aseptic meningitis with a predominance of mononuclear cells, along with normal glucose and protein levels.

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