Abstract
Here we present the case of a 37-year-old previously healthy man who developed fever, headache and a unilateral, painful neck swelling while working offshore. He had no known contact with anyone with COVID-19; however, due to the ongoing pandemic, a nasopharyngeal swab was performed, which was positive for the virus. After transfer to hospital for assessment his condition rapidly deteriorated, requiring admission to intensive care for COVID-19 myocarditis. One week after discharge he re-presented with unilateral facial nerve palsy. Our case highlights an atypical presentation of COVID-19 and the multifaceted clinical course of this still poorly understood disease.
Keywords:
cardiovascular medicine; infectious diseases; neurology.
© BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Adult
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Alkalosis, Respiratory / blood*
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Alkalosis, Respiratory / etiology
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Bell Palsy / physiopathology*
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Blood Gas Analysis
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C-Reactive Protein / metabolism
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COVID-19 / blood
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COVID-19 / physiopathology*
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COVID-19 / therapy
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Echocardiography
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Edema / etiology
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Electrocardiography
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Humans
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Hypotension / etiology
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Hypotension / physiopathology
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Lymphadenitis / etiology
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Lymphadenitis / physiopathology
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Magnetic Resonance Imaging
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Male
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Myocarditis / blood
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Myocarditis / diagnostic imaging
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Myocarditis / physiopathology*
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Myocarditis / therapy
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Natriuretic Peptide, Brain / blood
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Neck
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Oxygen Inhalation Therapy
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Peptide Fragments / blood
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Procalcitonin / blood
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Recovery of Function
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SARS-CoV-2
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Troponin T / blood
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Vasoconstrictor Agents / therapeutic use
Substances
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Peptide Fragments
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Procalcitonin
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Troponin T
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Vasoconstrictor Agents
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pro-brain natriuretic peptide (1-76)
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Natriuretic Peptide, Brain
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C-Reactive Protein