Kawasaki-like disease related to COVID-19. Perioperative management of a pediatric case

ABSTRACT

The recently identified COVID-19-related Kawasaki-like disease has been considered one of the phenotypes of the cardiovascular manifestations of the Pediatric Multisystem Inflammatory Syndrome associated with SARS-CoV-2 (PIMS-TS), which stands out for few respiratory symptoms and multiple manifestations cardiovascular, the most important being dilation and eventual coronary aneurysms associated or not with cardiogenic shock. The literature is scarce, so perioperative management is challenging for the anesthesiology team. We present the case of an infant with severe cardiovascular manifestations as a result of this disease that required anesthetic interventions to perform a plethysmography and amputation of his lower extremity. The article describes the most relevant considerations in the perioperative management of patients with this pathology. © 2023 Sociedad de Anestesiologia de Chile. All rights reserved.