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Revista Cubana de Pediatría

On-line version ISSN 1561-3119


PALENCIA PALENCIA, José Ignacio; CORONADO SARMIENTO, Juan Felipe  and  CORREDOR BECERRA, Yudy Andrea. Complexity of diagnosing Kawasaki disease in COVID-19 times. Rev Cubana Pediatr [online]. 2022, vol.94, suppl.1  Epub Dec 15, 2022. ISSN 1561-3119.


Kawasaki disease is the main cause of heart disease acquired in childhood, however, its diagnosis is difficult after the onset of SARS-CoV-2.


To examine a case with incomplete Kawasaki disease in the context of the COVID-19 pandemic and the diagnostic challenge it represents.

Case presentation:

A 5-month-old female patient brought by her parents to the emergency service due to upper respiratory symptoms and multiple emetic episodes. During her hospitalization, she presented fever that was difficult to control, edema in the extremities, polymorphous exanthema and a strawberry tongue, so after ruling out the pediatric multisystem inflammatory syndrome temporarily associated with COVID 19, Kawasaki disease was diagnosed. Treatment with intravenous immunoglobulin and acetylsalicylic acid is indicated. The patient progressed satisfactorily and was discharged on day 10 of hospitalization.


The differentiation of Kawasaki disease with pediatric multisystem inflammatory syndrome is vital, given that the latter presents a higher risk of morbidity and mortality in the short term.

Keywords : Kawasaki disease; pediatric multisystem inflammatory syndrome; COVID-19; SARS-CoV-2.

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