COVID-19 fulminant myocarditis: a case report

BACKGROUNDFulminant 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 SUMMARYA 38-year-old woman who recently arrived from Spain presented with palpitations that started suddenly 3 days p...

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Bibliographic Details
Published in:European heart journal. Case reports 2020, Vol.4, p.1-6
Main Authors: Bernal-Torres, Wikler, Herrera-Escandón, Álvaro, Hurtado-Rivera, Manuel, Plata-Mosquera, Carlos Andrés
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDFulminant 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 SUMMARYA 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.DISCUSSIONThe 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.
ISSN:2514-2119
DOI:10.1093/ehjcr/ytaa212