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A 14-Year-Old Male Patient with Kawasaki Disease Presented with Stroke after COVID-19

Nexhmedin Shala1,2, Fisnik Jashari1,2, Dren Boshnjaku1,2

  • 1Clinic of Neurology, University Clinical Center of Kosovo, Pristina 10000, Kosovo.

Case Reports in Infectious Diseases
|July 1, 2021
PubMed

Insights

Children infected with SARS-CoV-2 are rarely severely ill, but a Kawasaki-like inflammatory disease can occur. This case highlights a 14-year-old experiencing ischemic stroke after SARS-CoV-2 infection.

Area of Science:

  • Pediatric infectious diseases
  • Cardiovascular complications in children
  • Neurological sequelae of viral infections

Background:

  • While SARS-CoV-2 (the virus causing COVID-19) primarily affects adults, pediatric cases are increasingly documented.
  • Most children infected with SARS-CoV-2 exhibit mild or asymptomatic illness.
  • A post-infectious inflammatory syndrome, resembling Kawasaki disease, has been observed in pediatric populations weeks after SARS-CoV-2 infection.

Observation:

  • A 14-year-old male presented with symptoms indicative of an ischemic stroke.
  • The patient had a recent history of SARS-CoV-2 infection.

Findings:

  • The case demonstrates a link between SARS-CoV-2 infection and the development of Kawasaki disease.
  • The presentation included a severe vascular complication: ischemic stroke.

Implications:

  • This case underscores the potential for serious, albeit rare, cardiovascular and neurological complications in children following SARS-CoV-2 infection.
  • Heightened awareness and monitoring for Kawasaki disease and its sequelae are crucial in pediatric patients with a history of SARS-CoV-2.
  • Further research is warranted to understand the pathophysiology and long-term outcomes of SARS-CoV-2-associated multisystem inflammatory syndrome in children (MIS-C).

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