# Kawasaki disease complicated with shock syndrome and macrophage activation syndrome in children: a case report

## TL;DR

This case report describes a rare instance of Kawasaki disease in a child complicated by shock syndrome and macrophage activation syndrome.

## Contribution

The novelty lies in the detailed documentation of a rare complication where KD is accompanied by both shock syndrome and MAS.

## Key findings

- KD complicated by shock syndrome and MAS is extremely rare in children.
- The case highlights the importance of early diagnosis and treatment in managing such complex presentations.

## Abstract

Kawasaki disease (KD) is an acute self-limited vasculitis of unknown etiology. Clinically, a small proportion of patients may develop shock syndrome or macrophage activation syndrome (MAS); however, KD shock syndrome (KDSS) complicated by MAS is extremely rare. This article provides a detailed report on the clinical diagnosis and treatment course of a child with KD complicated by KDSS and MAS.