Cardiac involvement in a 20- year- old patient with COVID-19 - Case report

Alma Trnacevic, Dilista Piljic, Rahima Jahic, Azra Avdic, Amra Serak, Emir Trnacevic, Humera Porobic Jahic, Jasminka Petrovic, Danijel Bijedic, Amela Becirovic

Abstract


This case report describes pericardial effusion and myopericarditis in a 20-year-old female patient who had a positive RT-PCR test for SARS-CoV-2. A few cases of this clinical presentation in COVID-19 have been described in the world. A COVID-19 positive patient was admitted to the Clinic for Infectious Diseases due to difficulty breathing, chest pain, fever, cough, vomiting and diarrhea. Imaging methods confirmed that the patient had initial pneumonia and pericardial effusion. In laboratory findings, she had elevated values of cardiac necrosis markers. On admission, the patient was dyspnoic, hypotensive, and tachycardic. Despite all measures of intensive treatment, the outcome was lethal.
It is necessary to recognize more severe forms of COVID-19 with involvement of other organ systems in order to start treatment in time and reduce the number of poor outcomes.

Keywords


COVID-19, pericardial effusion, myopericarditis

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DOI: 10.5457/ams.v54i2.754