Acute renal failure in a child with Kawasaki disease

Renal manifestation of Kawasaki disease is not frequently described. A four-year-old boy was referred to our institute with acute renal failure for dialysis. Detailed history coupled with physical examination revealed telltale symptom complex of Kawasaki Disease. We diagnosed the case to be Kawasaki Disease complicated by Acute Renal Failure at presentation. The patient recovered with supportive measures alone without requiring renal replacement therapy. Acute renal failure is a rare accompaniment of Kawasaki Disease as presenting manifestation.