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Grey's Anatomy
A Case of Kawasaki
A parent grapples with her son's unrelenting fever and talks to the doctors about the possible diagnosis. After finding out that the Strep result was inaccurate, the doctors determine that the patient has Kawasaki disease and put him on the treatment.
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Video Transcript
0:00
have a tongue in your ear
0:01
dr. Wilson
0:02
right
0:03
you saw us the other night I'm Casey Hedges that's my son Parker right
0:06
is he still sick
0:08
his females down when I left her my shift I'm a waitress then my neighbor called she said it spiked again and then when I got home he had this rash
0:16
you've been giving him the meds lots of fluids yeah but his fever still above a hundred and three and it's been like that for over a week now and
0:23
I mean I know that you told me it's
0:25
a virus
0:25
probably adenovirus the fever can last at least five days of it's not that unusual
0:30
I've been tracking the spikes in his fever and I
0:33
looked up
0:34
his symptoms online and wrote down a bunch of
0:37
those Eola
0:38
shingles
0:39
lupus
0:41
I just
0:42
I can't explain it but
0:44
I know my kid this is not a virus I just
0:46
feel it
0:52
okay
0:53
I'll go get your chart
0:57
we could be cat scratch fever or Stevens-Johnson syndrome
1:00
who set those
1:01
medical
1:01
sites online
1:02
it's strap
1:03
Casey Parker's rapid test came back positive for strep throat I have a prescription for Amoxicillin
1:08
oh God thank God I just do it wasn't a virus as soon as we get you signed that you can take her out
1:12
thank you well I hope your son feels better
1:18
be normal
1:20
I know this must be so
1:22
annoying for you I mean I know I know nothing but I did all this research really not at all
1:26
let's go through it
1:27
please
1:27
what's first
1:30
okay are you sure that it's not lupus
1:32
he doesn't fit the criteria and the rash is quite different
1:35
what else
1:36
what about
1:38
an enterovirus or
1:40
meningitis
1:41
well I can see why you would think that but again the rash associated with enterovirus
1:46
is commonly distributed over the hands and the feet
1:49
and
1:50
we ruled out meningitis when his spinal tap came back clear
1:53
okay
1:55
I read this one article about something called Kawasaki disease
1:59
they
1:59
it can cause
2:00
a heart attack
2:01
that's a good one
2:03
it would explain the fever and the rash
2:05
but
2:07
it would be other symptoms the strawberry tongue and
2:10
peeling skin and red eyes and no positive strep
2:14
dr. grey
2:16
what do you think this is
2:19
I think it's strap
2:20
then he would be getting better
2:23
I'm sorry I know that you're a surgeon you don't even normally handle cases like this
2:26
no it's
2:32
I own the hospital and I can do whatever I want I want to do some more tests
2:36
we just charging Parker
2:38
yes I have it all ready to go but I just need you to go through it with me all one more time
2:42
latest white count
2:43
18
2:44
platelet count
2:45
500,000
2:47
high fever
2:48
unresponsive to meds
2:50
It's gotta just be a weird presentation of strap right
2:53
actually hang on the laps we just updated
2:57
yesterday's rapid test was a false positive The Struck cultures negative
3:02
you calling
3:03
know what I'm checking my calendar
3:05
what date is fever start
3:07
Wednesday I think damn we already had to tell what state an
3:10
to Barker have red eyes
3:12
he was asleep the last time I checked school
3:19
is everything okay
3:20
we need to check Parker's eyes
3:21
what's going on you're
3:23
scaring me
3:23
page Peds page cardio start an IVIG right away
3:26
we're already on data what what is happening hey see
3:29
if we're right this could be Kawasaki disease
3:31
these we need to get this IV started on Parker right away we're still within the window to prevent permanent heart damage but we have to do it right now
