Chaudhary, Rahul KumarKhan, Sajjad AhmedKumar Sah, RamanShreya2025-07-302025-07-302024https://hdl.handle.net/20.500.14572/974Rahul Kumar Chaudhary Department of Anaesthesia, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Sajjad Ahmed Khan Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Raman Kumar Sah Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal Shreya Birat Medical College Teaching Hospital, Tankisinuwari, Morang, NepalAbstract Kawasaki disease, extremely rare vasculitis of unknown etiology characterized by inflammation of small to medium sized arteries of multiple systems. This case report enhances the knowledge and management skills of rare clinical conditions. Here we report a case of a 3- month-old infant presented with acute onset fever, rash, non-exudative conjunctivitis and swellings of hands and legs with blood culture positive sepsis and right coronary artery dilatation. The child didn’t respond to treatment with the first dose of intravenous immunoglobulin. Therefore, the immunoglobulin resistant Kawasaki disease in infants needs further evaluation and clinical management at tertiary level hospitals.en-USOther