COVID-19-Induced Myocarditis and mRNA Vaccine-Related Pericarditis: A Case Report

Acute inflammatory cardiac disease is an increasing cause of COVID-19 vaccine-induced complications. We report a case of acute pericarditis following the second dose of the COVID-19 vaccine (BNT162b2) in a 49-year-old woman with previous COVID-19-induced myocarditis and heart failure. A clinical pre...

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Detalles Bibliográficos
Autores principales: Voltarelli, Clara L, Silva, Luiza, Longo, Mariana, Ferraria, Stefany, Martins, Lucas L, Nazar, Guilherme, Magalhães, Tiago, Miyazima, Rafael, Lenci Marques, Gustavo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9509695/
https://www.ncbi.nlm.nih.gov/pubmed/36176830
http://dx.doi.org/10.7759/cureus.28440
Descripción
Sumario:Acute inflammatory cardiac disease is an increasing cause of COVID-19 vaccine-induced complications. We report a case of acute pericarditis following the second dose of the COVID-19 vaccine (BNT162b2) in a 49-year-old woman with previous COVID-19-induced myocarditis and heart failure. A clinical presentation compatible with acute decompensated heart failure elevated troponin levels and a cardiac-MRI showing myocardial fibrosis and inflammatory pericardial effusion led to the diagnosis of perimyocarditis. She was treated with non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine. Her condition improved in eight days. Physicians should be aware of the possible diagnosis of pericarditis and/or a myocardial injury after COVID-19 infection and vaccination.

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