Assistant Professor, Topiwala National Medical College, Mumbai 400008, Maharashtra, India, Senior Resident, Assistant Professor, Junior Resident, Department of Pediatrics, Adichunchanagiri Institute of Medical Sciences, Mandya 571448, Karnataka, India
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Background: Kawasaki disease is a well known entity in pediatric age group and so is its counterpart Multisystem Inflammatory Syndrome in Children (MIS-C). MIS-C term became more popular during covid era as the infection started to affect pediatric age group. Now, a large number pediatricians have seencases of MIS-C. Reactivation of BCG scar is less commonly seen in Kawasaki disease and rare to never in a case of MIS-C. Case Presentation: We report a 6-month-old male child who presented with cold and fever. Covid Rapid Antigen Test (RAT) and Covid RTPCR were negative. He continued to have high grade feverwhich is unusual for a case of bronchiolitis and started on antibiotics. Clinical suspicion of MIS-C made and started to work up for the same. Examination revealed reactivation at BCG site with pealing of skin. Further investigations showed elevated CRP and d-dimer with positive anti-SARS COV2 antibody. Diagnosis of MIS-C confirmed and treated with methylprednisolone and IVIG. Conclusion: Reactivation at BCG site is well known entity in Kawasaki disease and as a post vaccination immune cross reactivity. But never reported in a case of MIS-C as less known abouthuman immunological response towards Covid-19 infection and its sequel. It can be considered as an early diagnostic tool in resource poor settings and at community level.
Corresponding Author : Praveen Unki, Assistant Professor, Department of Pediatrics, Topiwala National Medical College, Mumbai-400008, Karnataka, India.