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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Answer

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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