Enfermedad de Kawasaki en paciente pediátrico en el contexto de la pandemia por COVID-19

La evolucion de la actual pandemia de COVID-19 por SARS-CoV-2 ha sido vertiginosa y cambiante; existen reportes recientes de ninos con COVID-19 asintomaticos respiratorios con manifestaciones cutaneas similares a la enfermedad de Kawasaki. Presentamos un paciente escolar masculino de 8 anos quien manifesto fiebre, exantema maculopapular difuso, inyeccion conjuntival no supurativa bilateral y dolor abdominal de 5 dias de evolucion. Es ingresado al hospital de su localidad con diagnostico presuntivo de enfermedad de Kawasaki. Se realizo prueba molecular y serologica para SARS-CoV-2 negativas, con 4 contactos epidemiologicos intradomiciliarios positivos. Es referido a hospital de tercer nivel donde se diagnostica enfermedad de Kawasaki por lo que recibe altas dosis de inmunoglobulina, ademas de tratamiento de sosten con una evolucion favorable. Summary The evolution of the current pandemic of COVID-19 by SARS-CoV-2 has been dizzying and changing; there are recent reports of children with respiratory asymptomatic COVID-19 with cutaneous manifestations similar to Kawasaki disease. We present an 8-year-old male school patient who presented fever, diffuse maculopapular rash, bilateral non-suppurative conjunctival injection and abdominal pain of five days. He is admitted to the local hospital with a presumptive diagnosis of Kawasaki disease. Molecular and serological tests for negative SARS-CoV-2 were performed, with four positive intra-household epidemiological contacts. He is referred to a third-level hospital where Kawasaki disease is diagnosed, so he receives high doses of immunoglobulin in addition to supportive treatment with a favorable evolution. Key words: Kawasaki, COVID-19, SARS-CoV-2, pandemic.