SARS-CoV-2 infection has recently been related to a spectrum of hyper-inflammatory states in children . There is a striking similarity between these hyper-inflammatory states and Kawasaki disease (KD). We present an interesting case of KD recurrence in a 10-year-old child, who had previously developed KD at 4 years of age . His symptoms included fever, maculopapular rash and altered sensorium . Investigations showed noticeably elevated inflammatory markers, and an echocardiography revealed dilated coronary arteries . SARS-CoV-2 IgG antibodies were positive . The child responded dramatically to intravenous immunoglobulin and intravenous methylprednisolone . It is possible that SARS-CoV-2 infection triggered the recurrence of KD in this child who might have been genetically predisposed to KD.
Index: COVID-19, infectious diseases, paediatrics, rheumatology