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Case Reports
. 2020 Nov;38(11):2489.e1-2489.e2.
doi: 10.1016/j.ajem.2020.05.100. Epub 2020 Jun 2.

Acute myocarditis associated with COVID-19 infection

Muhammed Said Beşler  1 , Halil Arslan  2
Affiliations
Case Reports

Acute myocarditis associated with COVID-19 infection

Muhammed Said Beşler et al. Am J Emerg Med. 2020 Nov.

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.

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Figures

Fig. 1
Fig. 1
Note that an opacity (arrow) in left lung at posteroanterior chest radiograph (A). Chest computed tomography (CT) reveals a consolidation containing air bronchogram with a halo sign in the left upper lobe and a subpleural localization (B).
Fig. 2
Fig. 2
Short tau inversion recovery (STIR) sequence in short-axis view (A) reveals a subepicardial high signal intensity in the posterolateral wall of the left ventricle which suggests myocardial wall edema (arrow). Phase-sensitive inversion recovery (PSIR) sequence in short-axis view shows subepicardial late gadolinium enhancement of the posterolateral wall in the mid ventricle at 5 (B) and 10 (C) minutes after contrast administration (arrowheads).
See this image and copyright information in PMC

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