Evaluates atypical varicella-zoster virus infection presentation in children, suggesting important clinical implications.
Mucocutaneous: KD-related symptoms Rash, conjunctivitis, and oral mucositis Vasculitis-like rash Other organs: respiratory, renal, or neurologic Consolidation with pleural effusion Consolidation with pleural effusion III.Infectious triggers Detection by PCR, Ag, or Ab tests PCR (-) and Ab (+) for SARS-CoV-2 PCR (+) and Ab (+) for VZV Close contact with a COVID-19 case within 60 days No contact history of COVID-19 Contact history of COVID-19 (parents) Absence of a more likely alternative diagnosis No pathogens other than SARS-CoV-2 No pathogens other than VZV MIS-C: multisystem inflammatory syndrome in children, ICU: intensive care unit, CT: computed tomography, (+): present, (-): absent or not tested, CRP: C-reactive protein, AST: aspartate transaminase, ALT: alanine transaminase, TG: triglycerides, INR:
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Hwang et al. (2026) studied this question.
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