Kawasaki disease is an acute febrile illness associated with the vasculitis ofsmall and medium size arteries. Peripheral gangrene is very rare but a knowncomplication of Kawasaki disease mostly reported in the infantile age group.Early therapy is advocated for prevention of serious complications. We reporta 10-month-old girl with Kawasaki disease and a small ventricular septaldefect who developed peripheral gangrene despite initiation of early therapy.
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