Abstract
SARS-CoV-2 infection has recently been related to a spectrum of hyper-inflammatory states in children. There is a striking similarity between these hyper-inflammatory states and Kawasaki disease (KD). We present an interesting case of KD recurrence in a 10-year-old child, who had previously developed KD at 4 years of age. His symptoms included fever, maculopapular rash and altered sensorium. Investigations showed noticeably elevated inflammatory markers, and an echocardiography revealed dilated coronary arteries. SARS-CoV-2 IgG antibodies were positive. The child responded dramatically to intravenous immunoglobulin and intravenous methylprednisolone. It is possible that SARS-CoV-2 infection triggered the recurrence of KD in this child who might have been genetically predisposed to KD.
Keywords: COVID-19; infectious diseases; paediatrics; rheumatology.
【저자키워드】 COVID-19, Infectious diseases, paediatrics, rheumatology, 【초록키워드】 SARS-CoV-2, Intravenous immunoglobulin, SARS-COV-2 infection, children, Infection, inflammatory markers, Symptom, SARS-CoV-2 IgG antibody, Kawasaki disease, Fever, rheumatology, age, Rash, investigation, similarity, positive, intravenous methylprednisolone, arteries, elevated, triggered, 【제목키워드】 SARS-COV-2 infection, Kawasaki disease, triggering,