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COVID-19 fulminant myocarditis: a case report
BACKGROUND: Fulminant myocarditis is a catastrophic disease with high mortality and complications. A viral aetiology is frequent and the implication of SARS-CoV-2 is not yet known. CASE SUMMARY: A 38-year-old woman who recently arrived from Spain presented with palpitations that started suddenly 3 d...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454494/ https://www.ncbi.nlm.nih.gov/pubmed/33089053 http://dx.doi.org/10.1093/ehjcr/ytaa212 |
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author | Bernal-Torres, Wikler Herrera-Escandón, Álvaro Hurtado-Rivera, Manuel Plata-Mosquera, Carlos Andrés |
author_facet | Bernal-Torres, Wikler Herrera-Escandón, Álvaro Hurtado-Rivera, Manuel Plata-Mosquera, Carlos Andrés |
author_sort | Bernal-Torres, Wikler |
collection | PubMed |
description | BACKGROUND: Fulminant myocarditis is a catastrophic disease with high mortality and complications. A viral aetiology is frequent and the implication of SARS-CoV-2 is not yet known. CASE SUMMARY: A 38-year-old woman who recently arrived from Spain presented with palpitations that started suddenly 3 days prior to presentation and were associated with haemodynamic instability, without dyspnoea or chest pain. We found features of myopericarditis on the electrocardiogram and severe systolic dysfunction on the echocardiogram. The chest tomography showed findings which suggested COVID-19 infection, and PCR for SARS-CoV-2 was positive. The cardiac magnetic resonance image showed Lake Louise criteria for myocarditis. The patient was treated with immunomodulatory, steroid, and immunoglobulin therapy, with a favourable clinical response. DISCUSSION: The importance of this case lies in highlighting the severe cardiac involvement in a young patient, without previous risk factors, positive for COVID-19, and the favourable response to the medical treatment given. |
format | Online Article Text |
id | pubmed-7454494 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-74544942020-08-31 COVID-19 fulminant myocarditis: a case report Bernal-Torres, Wikler Herrera-Escandón, Álvaro Hurtado-Rivera, Manuel Plata-Mosquera, Carlos Andrés Eur Heart J Case Rep Case Reports BACKGROUND: Fulminant myocarditis is a catastrophic disease with high mortality and complications. A viral aetiology is frequent and the implication of SARS-CoV-2 is not yet known. CASE SUMMARY: A 38-year-old woman who recently arrived from Spain presented with palpitations that started suddenly 3 days prior to presentation and were associated with haemodynamic instability, without dyspnoea or chest pain. We found features of myopericarditis on the electrocardiogram and severe systolic dysfunction on the echocardiogram. The chest tomography showed findings which suggested COVID-19 infection, and PCR for SARS-CoV-2 was positive. The cardiac magnetic resonance image showed Lake Louise criteria for myocarditis. The patient was treated with immunomodulatory, steroid, and immunoglobulin therapy, with a favourable clinical response. DISCUSSION: The importance of this case lies in highlighting the severe cardiac involvement in a young patient, without previous risk factors, positive for COVID-19, and the favourable response to the medical treatment given. Oxford University Press 2020-07-08 /pmc/articles/PMC7454494/ /pubmed/33089053 http://dx.doi.org/10.1093/ehjcr/ytaa212 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Reports Bernal-Torres, Wikler Herrera-Escandón, Álvaro Hurtado-Rivera, Manuel Plata-Mosquera, Carlos Andrés COVID-19 fulminant myocarditis: a case report |
title | COVID-19 fulminant myocarditis: a case report |
title_full | COVID-19 fulminant myocarditis: a case report |
title_fullStr | COVID-19 fulminant myocarditis: a case report |
title_full_unstemmed | COVID-19 fulminant myocarditis: a case report |
title_short | COVID-19 fulminant myocarditis: a case report |
title_sort | covid-19 fulminant myocarditis: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454494/ https://www.ncbi.nlm.nih.gov/pubmed/33089053 http://dx.doi.org/10.1093/ehjcr/ytaa212 |
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