Recurrent Kawasaki disease.

BACKGROUND: Recurrent Kawasaki disease is rare. CASE CHARACTERISTICS: An eight-month old infant had classic Kawasaki disease with transient coronary artery dilatation. OBSERVATIONS: Recurrence of incomplete Kawasaki disease after two years of initial diagnosis. OUTCOME: The index episode of Kawasaki disease was resistant to single infusion of immunoglobulin, while repeat episode responded within 24 hours of institution of therapy. MESSAGE: Early recognition of recurrent Kawasaki disease requires a high index of suspicion.