P0751 / #2036: KAWASAKI-LIKE DISEASE DURING THE SARS-COV-2 PANDEMIC IN PEDIATRIC EMERGENCY DEPARTMENT: A CASE REPORT

Abstract

Aims & Objectives: Kawasaki disease is pediatric affection, is an acute vasculitis of the medium vessels. However, during the SARS-CoV-2 pandemic, Italian and French team reported a Kawasaki-like disease in children. The purpose of the case report is to describe it’s and is to raise its awareness Methods: We reported a child old 30 months presented Kawasaki-like disease during SARS-CoV-2 pandemic in pediatric emergency department Results: Patient old 30 months presented fever 40° with polymorphic rash, without hypoperfusion signs. Contact with confirmed family cases of COVID-19 patients was found. Investigation showed: a positive serology (test for the qualitative detection) for SARS-CoV-2 (IgM and IgG), Nasopharyngeal swab sampling, testing SARS-CoV-2 nucleic acid using reverse-transcriptase quantitative PCR assay was negative, Full blood count showed white cell count of 14380/mm3 with increased neutrophil percentage 85,3%, CRP 151 mg/dL and Fibrinogen 4,44 g/L. Chest x-ray normal, High NT pro BNP (5000), normal ECG, initially normal left ventricular function and hypokinetic (ejection fraction= 54%) 24 hours after. Patient transferred in pediatric unit of covid-19, in order to receive intravenous immunoglobulin according to the RAISE study and to continuous the management Conclusions: Kawasaki-like disease diagnosed in children after the SARS-CoV-2 pandemic is actually associated with good outcome; clinicians should be alert of the signs and symptoms because emerging of a severe form and cure still possible with early diagnosis and treatment