South Okanagan General Hospital

Strawberry tongue is classically associated with Kawasaki disease and scarlet fever, but it may also occur in other infectious or toxin-mediated conditions. We report a seven-year-old boy who presented with nasal obstruction, a generalized erythematous rash, and a strawberry tongue. He was afebrile and had no lymphadenopathy, hepatosplenomegaly, or pharyngeal exudate. Laboratory tests revealed mild liver enzyme elevation and a negative rapid antigen test for Group A Streptococcus. Serology confirmed primary Epstein-Barr virus (EBV) infection. No treatment was given, and all findings resolved spontaneously within 10 days of presentation. Although a causal relationship cannot be firmly established, careful exclusion of other etiologies supports EBV infection as the most plausible explanation for the development of strawberry tongue. This case highlights that EBV should be considered in the differential diagnosis of strawberry tongue when typical features of more common causes are absent.

We encountered an 11‐day‐old male neonate with vitamin K deficiency‐induced intracranial hemorrhage, despite receiving oral vitamin K2 (menaquinone‐4) prophylaxis according to Japanese guidelines. This case suggests that the current vitamin K deficiency‐bleeding prophylaxis programs cannot prevent bleeding completely. Better prophylaxis programs using both intramuscular and oral administration should be considered.

Abstract Although there are numerous reports on surgical treatment of medication-related osteonecrosis of the jaw (MRONJ) , the effectiveness of surgical treatment at an early stage has recently been reported.