tetano
Editor, Senior Moderator
Cureus
. 2022 Jun 27;14(6):e26358.
doi: 10.7759/cureus.26358. eCollection 2022 Jun.
Focal Myocarditis As the First Sign in the Presentation of a COVID-19 Infection: A Case Report
Mohamad Zayour[SUP] 1 [/SUP], Rana Al Ashkar[SUP] 2 [/SUP], Mahmoud Karaki[SUP] 3 [/SUP], Elie Chammas[SUP] 4 [/SUP], Wassim Shatila[SUP] 4 [/SUP]
Affiliations
Abstract
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). Patients with COVID-19 typically present with symptoms and signs related to respiratory tract infection. However, a broad spectrum of cardiac manifestations including myocarditis has been reported as complications of this virus. Nevertheless, focal myocarditis as the first clinical manifestation of COVID-19 infection has not been reported before. Thus, we herein present the case of a 56-year-old male patient previously healthy and presented to the emergency department with chest pain. The clinical picture was compatible with inferior ST-elevation myocardial infarction (STEMI). Initial COVID-19 polymerase chain reaction (PCR) was negative, as well for its classic symptoms. Thereafter, further investigations suggested the diagnosis of focal myocarditis. Later on, the patient started to have a fever and repeated COVID-19 PCR that returned positive.
Keywords: atypical presentation; clinical case report; covid 19; covid and myocarditis; sars-cov-2.
. 2022 Jun 27;14(6):e26358.
doi: 10.7759/cureus.26358. eCollection 2022 Jun.
Focal Myocarditis As the First Sign in the Presentation of a COVID-19 Infection: A Case Report
Mohamad Zayour[SUP] 1 [/SUP], Rana Al Ashkar[SUP] 2 [/SUP], Mahmoud Karaki[SUP] 3 [/SUP], Elie Chammas[SUP] 4 [/SUP], Wassim Shatila[SUP] 4 [/SUP]
Affiliations
- PMID: 35903566
- PMCID: PMC9326958
- DOI: 10.7759/cureus.26358
Abstract
Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). Patients with COVID-19 typically present with symptoms and signs related to respiratory tract infection. However, a broad spectrum of cardiac manifestations including myocarditis has been reported as complications of this virus. Nevertheless, focal myocarditis as the first clinical manifestation of COVID-19 infection has not been reported before. Thus, we herein present the case of a 56-year-old male patient previously healthy and presented to the emergency department with chest pain. The clinical picture was compatible with inferior ST-elevation myocardial infarction (STEMI). Initial COVID-19 polymerase chain reaction (PCR) was negative, as well for its classic symptoms. Thereafter, further investigations suggested the diagnosis of focal myocarditis. Later on, the patient started to have a fever and repeated COVID-19 PCR that returned positive.
Keywords: atypical presentation; clinical case report; covid 19; covid and myocarditis; sars-cov-2.