SARS‐CoV‐2 causes Kawasaki‐like disease in children: Cases reported in Pakistan

The pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causing coronavirus disease (COVID), has spread promptly globally.1, 2 In adults, COVID-19 shows classic symptoms that range from severe interstitial pneumonia to hyperactivation of the inflammatory cascade.3 In children, respiratory involvement is mild and has a nonthreatening course, with almost no mortalities.4 Recently, many cases of post-COVID inflammatory syndrome are being reported in Karachi, Lahore, and Islamabad/Rawalpindi, Pakistan.4 It is also known as Kawasaki-like multisystem inflammatory,5 it named because of some similar symptoms with the other rare childhood conditions Kawasaki disease such as skin rash, lymphadenopathy, strawberry tongue, and elevated inflammatory biomarkers.6 The association between COVID-19 and Kawasaki-like multisystem inflammatory syndrome in children (MIS-C) is not well understood.6 The incidence…