A 42-year-old man was referred for a week history of severe dysphagia, odynophagia, fever (39 °C), fatigue, abdominal pain, pharyngeal swelling, and multiple neck lymphadenopathies . The medical history reported a mild form of COVID-19 one month ago . The biology reported an unspecified inflammatory syndrome . The patient developed peritonitis, myocarditis, and hepatitis . A myocardium biopsy was performed . A diagnosis of Kawasaki-like disease (KLD) was performed . The occurrence of KLD in adults is rare but has to be known by otolaryngologists regarding the otolaryngological clinical presentation that may precede the multiple organ failure.