Introduction:

Multisystemic Inflammatory Syndrome has been described to occur in children infected with the SARS-COV-2 virus, coronavirus responsible for COVID-19, who are not necessarily in the acute phase of the disease, but who have a seroconversion of antibodies against it, demonstrate a recent infection or in processes; among its many multiple forms of presentation, a form of the disease similar to Kawasaki syndrome has been described, which responds to conventional treatment for classic disease

Case report:

eight-year-old girl who was admitted to the respiratory isolation area, with positive serology for SARS-CoV-2 antibodies, with no history of importance, with diffuse abdominal pain of great intensity, nausea, vomiting, constipation and thermal rise of eight days of evolution, with clinical features of peritonitis, surgical intervention is performed where a small amount of free fluid in the abdominal cavity and congestive cecal appendix is evidenced, a picture not compatible with the intensity of abdominal pain.

Conclusions:

Kawasaki type systemic inflammatory syndrome disease secondary to COVID-19, due to the characteristics of the clinical picture, the poor post-surgical evolution, the multisystemic involvement, the radiographic changes and the suspicion of COVID-19, diagnosed serologically through a rapid test.

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