tetano
Editor, Senior Moderator
Cureus
. 2021 Jan 16;13(1):e12736.
doi: 10.7759/cureus.12736.
Fulminant COVID-19-Associated Myocarditis in an Otherwise Healthy Female
Gabriela C Milla-Godoy[SUP] 1 [/SUP], Robin Park[SUP] 1 [/SUP], Weizheng Jiang[SUP] 1 [/SUP], Martin W Hartkopf[SUP] 1 [/SUP], Thomas Treadwell[SUP] 2 [/SUP]
Affiliations
Abstract
An outbreak of a severe respiratory illness caused by a novel coronavirus that began in China in late 2019 has become a pandemic. We report the case of COVID-19-associated myocarditis in a 45-year-old healthy female who presented with solely gastrointestinal symptoms. Initial investigations revealed ST-segment elevations in her electrocardiogram (EKG), elevated troponin levels, and a positive severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) reverse transcription-polymerase chain reaction (RT-PCR). Subsequently, she had rapid deterioration with the development of cardiogenic shock within hours of admission to a community hospital in Massachusetts. This case highlights an atypical presentation of COVID-19 with a fulminant course in this emerging and evolving disease.
Keywords: cardiac troponin; coronavirus disease 2019 (covid-19); fulminant myocarditis.
. 2021 Jan 16;13(1):e12736.
doi: 10.7759/cureus.12736.
Fulminant COVID-19-Associated Myocarditis in an Otherwise Healthy Female
Gabriela C Milla-Godoy[SUP] 1 [/SUP], Robin Park[SUP] 1 [/SUP], Weizheng Jiang[SUP] 1 [/SUP], Martin W Hartkopf[SUP] 1 [/SUP], Thomas Treadwell[SUP] 2 [/SUP]
Affiliations
- PMID: 33614338
- PMCID: PMC7883749
- DOI: 10.7759/cureus.12736
Abstract
An outbreak of a severe respiratory illness caused by a novel coronavirus that began in China in late 2019 has become a pandemic. We report the case of COVID-19-associated myocarditis in a 45-year-old healthy female who presented with solely gastrointestinal symptoms. Initial investigations revealed ST-segment elevations in her electrocardiogram (EKG), elevated troponin levels, and a positive severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) reverse transcription-polymerase chain reaction (RT-PCR). Subsequently, she had rapid deterioration with the development of cardiogenic shock within hours of admission to a community hospital in Massachusetts. This case highlights an atypical presentation of COVID-19 with a fulminant course in this emerging and evolving disease.
Keywords: cardiac troponin; coronavirus disease 2019 (covid-19); fulminant myocarditis.