Myocarditis detected after COVID-19 recovery

A Sardari, P Tabarsi, H Borhany… - European Heart …, 2021 - academic.oup.com
A Sardari, P Tabarsi, H Borhany, R Mohiaddin, G Houshmand
European Heart Journal-Cardiovascular Imaging, 2021academic.oup.com
A 31-year-old internal medicine registrar presented with dyspnoea on exertion and low-
grade fever. He had a history of COVID-19 pneumonia and was discharged 3 weeks
previously. He did not have any other specific past medical history. At his previous
admission, RT–PCR was positive for SARS-CoV-2, lung CT (Panel A) showed bilateral
ground-glass and consolidative opacities mostly in the right lower zone, and the laboratory
data showed high C-reactive protein (CRP) levels of 105 mg/L and erythrocyte …
A 31-year-old internal medicine registrar presented with dyspnoea on exertion and low-grade fever. He had a history of COVID-19 pneumonia and was discharged 3 weeks previously. He did not have any other specific past medical history. At his previous admission, RT–PCR was positive for SARS-CoV-2, lung CT (Panel A) showed bilateral ground-glass and consolidative opacities mostly in the right lower zone, and the laboratory data showed high C-reactive protein (CRP) levels of 105 mg/L and erythrocyte sedimentation rate (ESR) of 70 mm/h but normal high sensitivity troponin T of< 0.03 ng/mL. In the second week, he experienced pleuritic chest pain with no ECG changes. Troponin was not checked at that time. He was discharged after 10 days with two subsequent negative RT–PCRs and in good condition. CT at discharge (Panel B) showed significant resolution of consolidation with bilateral multifocal ground-glass appearance. Three weeks after discharge, he presented with dyspnoea on exertion and low-grade fever. On examination, he had a blood pressure of 110/80 mmHg, respiratory rate 18 breaths/min, heart rate 70 bpm, temperature 37.8 C (axillary), and O2 Sat 96%. Blood cell count (CBC) was normal, CRP was 3.3 mg/L, and high sensitivity troponin T was< 0.03 ng/mL. RT–PCR was negative for SARS-CoV-2. A 12-lead electrocardiogram was normal. The transthoracic echocardiography had a poor acoustic window but
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