Acute myocarditis associated with COVID-19 infection

Muhammed Said Beşler; Halil Arslan

doi:10.1016/j.ajem.2020.05.100

Acute myocarditis associated with COVID-19 infection

Am J Emerg Med. 2020 Nov;38(11):2489.e1-2489.e2. doi: 10.1016/j.ajem.2020.05.100. Epub 2020 Jun 2.

Authors

Muhammed Said Beşler¹, Halil Arslan²

Affiliations

¹ Department of Radiology, Ankara City Hospital, Ankara, Turkey. Electronic address: msbesler@gmail.com.
² Department of Radiology, Ankara City Hospital, Ankara, Turkey.

Abstract

We present the case of a 20-year-old male patient without previous history of cardiovascular disease who was admitted to our hospital with a new onset febrile sensation and chest pain. Chest computed tomography revealed a subpleural consolidation with a halo of ground-glass opacification. Blood tests revealed elevated levels of markers of myocyte necrosis (troponin I and creatine kinase-MB). Nasopharyngeal swab was positive for COVID-19. Cardiac MRI showed myocardial edema and late gadolinium enhancement compatible with myocarditis associated with COVID-19 infection. This case showed that acute myocarditis can be the initial presentation of patients with COVID-19 infection.

Keywords: COVID-19; MRI; Myocarditis.

Publication types

Case Reports
Video-Audio Media

MeSH terms

COVID-19 / complications*
COVID-19 / diagnostic imaging
Chest Pain / virology
Fever / virology
Humans
Magnetic Resonance Imaging
Male
Myocarditis / diagnostic imaging
Myocarditis / virology*
Young Adult