During home care after Kawasaki disease, which statement about fever is correct?

• A. Fever is not expected after discharge
• B. Fever recurrence may develop
• C. Fever should be treated with antibiotics
• D. Fever does not occur with Kawasaki disease

Answer: (B)

Fever after Kawasaki disease can recur; this is an important part of post-discharge care. Even after treatment and defervescence, some children may experience a return of fever if inflammation flares again or if there is IVIG resistance. This possibility means caregivers should monitor temperature and seek medical evaluation if fever returns, rather than assuming the illness is over or ignoring it.

Antibiotics aren’t automatically appropriate for this fever unless there’s a separate infection identified. Fever is not something that never happens with Kawasaki disease, and the idea that fever should be treated with antibiotics isn’t correct. Also, fever is not expected to be completely absent after discharge for every child, since relapse or recrudescence can occur.