A Case of Hemolytic Anemia With Acute Myocarditis and Cardiogenic Shock: A Rare Presentation of COVID-19

Coronavirus disease 2019 (COVID-19) cases are on the rise globally, and mortality- and survival-related data are emerging every day. In addition, upcoming reports are suggestive of increased risk of cardiac ailments in high-risk patients. In the context of cardiac involvement, acute myocarditis has...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-09, Vol.12 (9), p.e10657
Main Authors: Singhavi, Ravi, Sharma, Kamal, Desai, Hardik D, Patel, Rahul, Jadeja, Dhigishaba
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Anemia
Blood pressure
Cardiology
Cardiomyopathy
Cardiovascular disease
Case reports
Coronaviruses
COVID-19
Cytotoxicity
Heart failure
Hemoglobin
Infections
Infectious Disease
Internal Medicine
Laboratories
Medical education
Mortality
Myocarditis
Oxygen saturation
Sepsis
Severe acute respiratory syndrome coronavirus 2
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Summary:Coronavirus disease 2019 (COVID-19) cases are on the rise globally, and mortality- and survival-related data are emerging every day. In addition, upcoming reports are suggestive of increased risk of cardiac ailments in high-risk patients. In the context of cardiac involvement, acute myocarditis has become one of the unexplored areas in COVID-19 patients, which could influence the long-term outcomes. In this report, we present a rare case that warrants further study on the subject due to the paucity of data in the literature. To date, no case of severe hemolytic anemias with stress cardiomyopathy/acute myocarditis in a patient of COVID-19 has been formally reported in the literature. The bedside echocardiogram had shown a possibility of acute myocarditis. The patient's marked left ventricular (LV) functional recovery without coronary intervention further corroborates the same. Clinicians should be aware of the diversity of cardiovascular/hematological complications, as well as focused cardiac ultrasound study and the importance of echocardiography as a good screening modality for cardiovascular and hematological complications of COVID-19 infection.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.10657