case_images: PMC10850932_01
case_images: Skin findings on the limbs. (A) Spotted erythema on the palms. (B) Spotted erythema on the extensor surfaces of the thighs and upper arms. (C) A tick-bite eschar on the right kneecap.
case_images: cureus-0016-00000051915-i01.jpg
case_images: PMC10850932_01_cureus-0016-00000051915-i01.jpg
case_images: FIG1
case_images: Because he developed five of the main symptoms of KD, such as a fever of 39 C, spotted erythema all over the body, particularly on both palms (Figures 1A, 1B), bilateral cervical lymphadenopathy, rigid edema localized to his lower feet, and a mild conjunctival injection on the fifth day, he was initially diagnosed with KD and was referred to our hospital. On the evening (sixth day of disease; second day of hospitalization), we found an approximately 5-millimeter tick-bite eschar on his right knee (Figure 1C).
case_images: Clinical course after hospitalization. IVIG: Intravenous immunoglobulin; ASA: Acetylsalicylic acid; TFLX: Tosufloxacin; AZM: Azithromycin.
case_images: cureus-0016-00000051915-i02.jpg
case_images: PMC10850932_01_cureus-0016-00000051915-i02.jpg
case_images: FIG2
case_images: He was discharged on the eleventh day (Figure 2).