Surgical Management of a Vascular Complication in A Pediatric Patient With Kawasaki-Like Disease Due to Association of SARS-Cov-2 and Dengue

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.