tetano
Editor, Senior Moderator
Cureus
. 2023 Jul 25;15(7):e42427.
doi: 10.7759/cureus.42427. eCollection 2023 Jul. COVID-19-Induced Cardiac Tamponade: A Case Study and a Literature Review
Rishabh Mishra[SUP] 1 [/SUP], Swati Jain[SUP] 2 [/SUP], Mohammed Shaban[SUP] 3 [/SUP], Giancarlo Acosta[SUP] 4 [/SUP], Miguel A Rodriguez Guerra[SUP] 5 [/SUP]
Affiliations
COVID-19 presentation is heterogeneous. As a viral illness, it could cause pericardial effusion leading to cardiac tamponade. We present a patient coursing with this viral illness that was found to have cardiac tamponade. We report a case of a 79-year-old female who presented with shortness of breath and dry cough for one week and resulted positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Her initial chest X-ray showed a bottle-shaped heart. Computed chest tomography showed pericardial effusion, and an echocardiogram confirmed moderated pericardial effusion with signs of tamponade. He improved with conservative therapy with colchicine, ibuprofen, cefepime, dexamethasone, dolutegravir, and apixaban for pulmonary emboli. An early approach in cardiac tamponade induced by COVID-19 is crucial to promptly address an aggressive directed therapy, avoiding potential complications or unnecessary procedures.
Keywords: cardiac tamponade; covid cardiac tamponade; covid pericardial effusion; pericardial infusion; sars-cov-2.
. 2023 Jul 25;15(7):e42427.
doi: 10.7759/cureus.42427. eCollection 2023 Jul. COVID-19-Induced Cardiac Tamponade: A Case Study and a Literature Review
Rishabh Mishra[SUP] 1 [/SUP], Swati Jain[SUP] 2 [/SUP], Mohammed Shaban[SUP] 3 [/SUP], Giancarlo Acosta[SUP] 4 [/SUP], Miguel A Rodriguez Guerra[SUP] 5 [/SUP]
Affiliations
- PMID: 37637521
- PMCID: PMC10448779
- DOI: 10.7759/cureus.42427
COVID-19 presentation is heterogeneous. As a viral illness, it could cause pericardial effusion leading to cardiac tamponade. We present a patient coursing with this viral illness that was found to have cardiac tamponade. We report a case of a 79-year-old female who presented with shortness of breath and dry cough for one week and resulted positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Her initial chest X-ray showed a bottle-shaped heart. Computed chest tomography showed pericardial effusion, and an echocardiogram confirmed moderated pericardial effusion with signs of tamponade. He improved with conservative therapy with colchicine, ibuprofen, cefepime, dexamethasone, dolutegravir, and apixaban for pulmonary emboli. An early approach in cardiac tamponade induced by COVID-19 is crucial to promptly address an aggressive directed therapy, avoiding potential complications or unnecessary procedures.
Keywords: cardiac tamponade; covid cardiac tamponade; covid pericardial effusion; pericardial infusion; sars-cov-2.