In the background of a sudden surge of coronavirus disease 2019 (COVID-19) cases, reports of themultisystem inflammatory syndrome in children from different parts of the globe are a matter ofconcern for physicians. We report a similar case presenting with persisting fever, rashes, bulbarconjunctivitis, abdominal pain, respiratory difficulty, and shock. Initial reports suggestive of highinflammatory markers, neutrophilic leucocytosis, high d-dimer, transaminitis, and found to haveCOVID 19 IgG antibodies positive in high titer. The echo at the bedside is suggestive of poor LVfunction with normal coronaries. Managed successfully in PICU with non-invasive ventilation support,ionotropy, aspirin, IVIG, and steroids and discharged. Early referral, a high index of suspicion,prompt recognition of shock, and early management by steroids and intravenous immunoglobulin(IVIG) may bring success.