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Pan Afr Med J ; 36: 167, 2020.
Статья в английский | MEDLINE | ID: covidwho-743010

Реферат

Coronavirus disease 2019 (COVID-19) has been reported as the possible cause of acute myocarditis. Myocarditis is an inflammatory heart disease mostly caused by viral infections. Cytomegalovirus (CMV) primary infection is often not suspected as a cause of myocarditis in immune-competent adults. We report the case of a 37-year-old male admitted with fever, cough and dyspnea. Chest CT showed typical ground-glass changes indicative of viral pneumonia. He was tested negative for COVID-19 but had biological markers that made us still suspect it. He had elevated troponin I level (up to 111.5 ng/mL) and diffuse myocardial dyskinesia along with a decreased left ventricular ejection fraction (LVEF). He was diagnosed with CMV myocarditis with cardiac insufficiency and totally recovered without antiviral therapy. During the COVID-19 pandemic patients may develop myocarditis, still every myocarditis is not a COVID infection. Myocarditis linked to CMV infection may be rare, but life-threatening.


Тема - темы
Coronavirus Infections/diagnosis , Cytomegalovirus Infections/diagnosis , Myocarditis/diagnosis , Pneumonia, Viral/diagnosis , COVID-19 , COVID-19 Testing , Clinical Laboratory Techniques , Coronavirus Infections/epidemiology , Cough/etiology , Cytomegalovirus Infections/virology , Diagnosis, Differential , Dyspnea/etiology , Fever/etiology , Humans , Male , Middle Aged , Myocarditis/diagnostic imaging , Myocarditis/virology , Pandemics , Pneumonia, Viral/epidemiology , Tomography, X-Ray Computed
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