COVID-19 myocarditis and postinfection Bell’s palsy

Here we present the case of a 37-year-old previously healthy man who developed fever, headache and a unilateral, painful neck swelling while working offshore. He had no known contact with anyone with COVID-19; however, due to the ongoing pandemic, a nasopharyngeal swab was performed, which was posit...

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Bibliographic Details
Published in:BMJ case reports 2021-01, Vol.14 (1), p.e240095
Main Authors: Dahl, Elin Hoffmann, Mosevoll, Knut Anders, Cramariuc, Dana, Vedeler, Christian Alexander, Blomberg, Bjørn
Format: Article
Language:English
Subjects:
Adult
Alkalosis, Respiratory - blood
Alkalosis, Respiratory - etiology
Antibiotics
Antibodies
Bell Palsy - physiopathology
Bell's palsy
Blood Gas Analysis
C-Reactive Protein - metabolism
Cardiac arrhythmia
Case Report
Case reports
Coronaviruses
COVID-19
COVID-19 - blood
COVID-19 - physiopathology
COVID-19 - therapy
Disease transmission
Echocardiography
Edema
Edema - etiology
Electrocardiography
Fever
Humans
Hypotension - etiology
Hypotension - physiopathology
Infections
Lymphadenitis - etiology
Lymphadenitis - physiopathology
Magnetic Resonance Imaging
Male
Myocarditis
Myocarditis - blood
Myocarditis - diagnostic imaging
Myocarditis - physiopathology
Myocarditis - therapy
Natriuretic Peptide, Brain - blood
Neck
Oxygen Inhalation Therapy
Oxygen saturation
Pain
Pandemics
Pathogens
Patients
Peptide Fragments - blood
Peptides
Procalcitonin - blood
Proteins
Recovery of Function
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Thrombosis
Troponin T - blood
Vasoconstrictor Agents - therapeutic use
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Description
Summary:Here we present the case of a 37-year-old previously healthy man who developed fever, headache and a unilateral, painful neck swelling while working offshore. He had no known contact with anyone with COVID-19; however, due to the ongoing pandemic, a nasopharyngeal swab was performed, which was positive for the virus. After transfer to hospital for assessment his condition rapidly deteriorated, requiring admission to intensive care for COVID-19 myocarditis. One week after discharge he re-presented with unilateral facial nerve palsy. Our case highlights an atypical presentation of COVID-19 and the multifaceted clinical course of this still poorly understood disease.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-240095