Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul 10;7(8):001842.
doi: 10.12890/2020_001842. eCollection 2020.

COVID-19 Associated Pneumonia and Pleural Effusion Masquerading as Heart Failure in Rheumatic Heart Disease

Jahanzeb Malik  1 , Nismat Javed  2 , Hesham Naeem  1 , Rana Abdul Sattar  1 , Umar Ikram  1
Affiliations

COVID-19 Associated Pneumonia and Pleural Effusion Masquerading as Heart Failure in Rheumatic Heart Disease

Jahanzeb Malik et al. Eur J Case Rep Intern Med. .

Abstract

The ongoing outbreak of coronavirus disease 2019 (COVID-19) that began in Wuhan, China, became an international emergency when thousands of people were infected around the world. COVID-19 emerged in Pakistan in April 2020, precipitating a nationwide lockdown. While some countries are now recovering from the pandemic, its peak is not estimated to occur in Pakistan until August 2020. We present a case of rheumatic heart disease with fever, myalgia and an unusual radiological finding of the virus.

Learning points: Unusual radiological findings are being seen in COVID-19 patients.Pleural effusion in a mildly symptomatic patient is a rare presentation of the disease.Early aggressive treatment can produce dramatic improvement in COVID-19 pneumonia.

Keywords: COVID-19; pleural effusion; rheumatic heart disease.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figures 1 and 2
Figures 1 and 2
Consolidation and pleural effusion bilaterally
Figures 1 and 2
Figures 1 and 2
Consolidation and pleural effusion bilaterally
See this image and copyright information in PMC

References

    1. Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol. 2020;92:441–447. - PMC - PubMed
    1. Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020;25:278–280. - PMC - PubMed
    1. Fried JA, Ramasubbu K, Bhatt R, Topkara VK, Clerkin KJ, Hornet E, et al. The variety of cardiovascular presentations of COVID-19. Circulation. 2020;141:1930–1936. - PMC - PubMed
    1. Li K, Wu J, Wu F, Guo D, Chen L, Fang Z, et al. The clinical and chest CT features associated with severe and critical COVID-19 pneumonia. Invest Radiol. 2020;55(6):327–331. - PMC - PubMed
    1. Bao C, Liu X, Zhang H, Li Y, Liu J. Coronavirus disease 2019 (COVID-19) CT findings: a systematic review and meta-analysis. J Am Coll Radiol. 2020;17:701–709. - PMC - PubMed

LinkOut - more resources