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Dengue Fever Triggering Kawasaki Disease. BACKGROUND: Several bacterial and viral infections are listed as triggering factors for Kawasaki disease; association with dengue fever is rare. CASE CHARACTERISTICS: A 5-year-old girl who presented with fever that was confirmed to be dengue fever, and subsequently improved, except that the fever persisted. She fulfilled diagnostic criteria for Kawasaki disease on day 7 of fever. OUTCOME: Child responded satisfactorily to intravenous immunoglobulin administration. MESSAGE: Kawasaki disease should be kept as one of the probabilities in a case of dengue if fever persists beyond the expected duration.