Multisystem inflammatory syndrome in an adult with the unusual constellation of symp-toms and sign acting as red herrings

A multisystem inflammatory syndrome is a rare emerging entity, resembling Kawasaki disease after covid 2019 viral illness(1). Here, we describe a case of MIS -A in a 21year old girl who presented with fever, mucocutaneous rash and multisystem involvement, which was treated with intravenous immunoglobulins and methylprednisolone, resulting in uneventful recovery with prompt treatment and care at Jaffna Teaching hospital.