When an Exanthem Misleads the Diagnosis: Association of Incomplete Kawasaki and COVID-19, A Case Report

The association of Kawasaki disease with SARS-CoV-2 has rarely been described. It is important to identify the association, as the syndrome´s cardiac associations could be fatal. A male infant presented to Enrique Garces Hospital in Quito, Ecuador with targetoid skin lesions suggestive of a drug reaction. The patient continued with the spread of the targetoid lesions and hand-foot and mouth oedema, the primary diagnosis was Kawasaki disease, but the patient continued with respiratory symptoms, and SARS-CoV-2 test yielded positive. The patient had an excellent therapeutic response and cardiological follow-up with no findings of cardiac lesions. As new crops of mutations of COVID appear, one should think of cutaneous associations to the syndrome.