Incomplete Kawasaki Disease in a Child with COVID-19

Rivera-Figueroa, E.I., Santos, R., Simpson, S. et al. Incomplete Kawasaki Disease in a Child with COVID-19. Indian Pediatr 57, 680–681 (2020). https://doi.org/10.1007/s13312-020-1900-0.

We rport a case of incomplete Kawasakidisease in a child who also tested positive for COVID-19. This case brings attention to the diverse presentation of coronavirus disease (COVID-19) disease in children.

A 5-year-old previously healthy African American male was admitted to the Pediatric inpatient floor with daily fever up to 39.4°C for 8 days. He had a history of rash, swelling (palms and soles), conjunctivitis, decreased appetite, diarrhea, dysuria, and abdominal pain. He had been treated with cefdinir for positive rapid streptococcal antigen test four days before, without clinical improvement. Physical examination showed dry, cracked, erythematous lips, non-exudative conjunctivitis, and bilateral shotty cervical lymphadenopathy but no rash. He had right scrotal edema and hydrocele suggestive of epididymo-orchitis on ultrasound. Clinically, he met the criteria for incomplete Kawasaki disease (KD).

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