Kawasaki disease (KD) is a vasculitis of unknown origin of small and medium caliber blood vessels, especially involving coronary arteries and is the leading cause of acquired heart disease in childhood in developed countries . Although rarely, it can recur: most recurrences occur within 2 years of the initial episode . No data are available on incidence of recurrent KD in Europe and multiple recurrences are rarely seen . We reviewed the medical literature on Kawasaki disease recurrence and reported a new case of Kawasaki disease recurrence in a child with SARS-CoV-2 infection . We believe that in our case SARS Cov2 acted as a trigger capable to determine, in a genetically susceptible individual, a second recurrence of the disease . In the Covid-19 era we affirm the importance for Kawasaki disease to be tested for SARS Cov2 infection.