Inclusion criteria |
Ages 1 month to 18 years |
As in Step 1 |
Diagnosis of Kawasaki disease: 5 days of fever and 4 out of 5 symptoms (conjunctival injection, palmar or solar edema, cervical lymphadenopathy, lingual or labial erythema, maculopapular rash) |
Diagnosis and hospitalization within 3 weeks of fever onset |
Informed consent (and assent) |
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Coronary artery dilation with a z-score ≥ 2.5 |
Exclusion criteria |
Denial of consent/assent |
As in Step 1 |
Fever onset more than 3 weeks prior to diagnosis and hospitalization |
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Tetracycline or sulfite allergy or prior treatment with tetracyclines (< 8 years of age) |
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Kidney failure (creatinine level above the upper limit of normal for age) |
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Liver failure (AST, ALT, bilirubin or GGT level elevated 5x above the upper limit of normal for age) |