Background: Severe acute respiratory syndrome coronavirus 2 in association with other pathologies can trigger systemic alterations that can compromise life in pediatric patients. A multidisciplinary management for this case is required since the information available from severe acute respiratory syndrome coronavirus 2 is constantly updated.
Case presentation: We describe the first case in Ecuador of bilateral forefoot and left-hand amputation due to vascular complication with necrosis in an Afrodescendant pediatric patient with Kawasaki-like disease caused by the association of Corona virus disease 2019 and Dengue.
Conclusion: The identification of progression of the syndrome is important for the correct therapeutical management.
Rodrigo Daniel Argotti Zumbana, Daniel Benigno Acosta Farina, Andrés Fernando Rivadeneira Maldonado, Mario Gonzalo Delgado Panchana and Jefferson Carlos Quiñonez Leon