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A 4 ½ -year-old boy Presented w9ith high fever and right cervical lymphadenitis for five days. One day before admission, he still had fever and developed abdominal pain. During admission, abdominal pain progressed, jaundice and gallbladder hydrops were detected. He was treated with antimicrobial agents without clinical improvement. Kawasaki disease was diagnosed one week after admission. The patient was treated with aspirin and intravenous immunoglobulin (IVIG). Fever defervesed within 24 hours with improvement in general conditions, jaundice and abdominal pain. Peripheral and perianal desquamation developed in the third week of illness. This patient recovered without complication.