INTRODUCTION: Coronavirus disease 2019 (COVID-19) rarely manifests with severe 
complications in pediatric patients. An association between COVID-19 and a 
Kawasaki-like inflammatory syndrome has recently presented in pediatric 
patients.
CASE REPORT: We report a unique case of multisystem inflammatory syndrome in 
children presenting with characteristic findings in a child who later developed 
cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation.
CONCLUSION: Recognition of these early signs and symptoms facilitates screening 
and risk stratification of pediatric COVID-19 cases associated with increased 
morbidity.