Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Bernal-Torres, Wikler, Herrera-Escandón, Álvaro, Hurtado-Rivera, Manuel, Plata-Mosquera, Carlos Andrés
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
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
_version_ 1783575501122568192
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
work_keys_str_mv AT bernaltorreswikler covid19fulminantmyocarditisacasereport
AT herreraescandonalvaro covid19fulminantmyocarditisacasereport
AT hurtadoriveramanuel covid19fulminantmyocarditisacasereport
AT platamosqueracarlosandres covid19fulminantmyocarditisacasereport