While there are no Kawasaki cases detected among children infected by COVID-19 in the country, some children who tested positive for COVID-19 in the UK, France, Italy, Spain, and the US have reported to display overlapping symptoms of severe COVID-19, toxic shock syndrome and Kawasaki disease. We asked experts to comment about the links between COVID-19 and Kawasaki disease, a multi-system inflammatory syndrome which primarily affects children under the age of five.
Children form a small proportion of those who have tested positive in this COVID-19 pandemic. In Malaysia, children aged 0-12 years comprised of 317 out of 6,872 cases identified (4.6%). Although children get infected with COVID-19 and transmit the disease, the vast majority generally do very well or remain asymptomatic; severe illness and death are rare. Recently however there has been concern, as young children infected with COVID-19 have presented with a severe Kawasaki-like disease with some fatality.