COVID-19 fulminant myocarditis: a case report
COVID-19 fulminant myocarditis: a case report
复制标题
DOI：
10.1093/ehjcr/ytaa212
复制
发表时间：
2020-10-01
影响因子：
1
通讯作者：
Plata-Mosquera, Carlos Andres
中科院分区：
文献类型：
--
作者：
Bernal-Torres, Wikler;Herrera-Escandon, Alvaro;Plata-Mosquera, Carlos Andres
背景暴发性心肌炎是一种致死率高、并发症多的灾难性疾病。一个病毒的病因是常见的和SARS-CoV-2的含义尚不清楚。Case summary一个38岁的女人谁最近从西班牙抵达与心悸，突然开始3天前介绍，并与血液动力学不稳定，没有呼吸困难或胸痛。我们在心电图上发现了心肌心包炎的特征，在超声心动图上发现了严重的收缩功能障碍。胸部断层扫描显示结果表明COVID-19感染，SARS-CoV-2的PCR呈阳性。心脏磁共振图像显示心肌炎的露易丝湖标准。该患者接受了免疫调节、类固醇和免疫球蛋白治疗，临床反应良好。讨论该病例的重要性在于强调了一名年轻患者的严重心脏受累，既往无风险因素，COVID-19阳性，以及对药物治疗的良好反应。
Background Fulminant 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 summary A 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 echo-cardiogram. 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.Discussion The 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.