Difficulties in diagnosis of SARS-CoV-2 myocarditis in an adolescent.
Swiss Med Wkly
; 152: w30214, 2022 07 18.
Статья
в английский
| MEDLINE | ID: covidwho-2202463
ABSTRACT
OBJECTIVES:
We present an adolescent with cardiogenic shock due to ventricular tachycardia 2 weeks after SARS-CoV-2 infection. Acute myocarditis or myocardial dysfunction is associated with SARS-CoV-2 infection, but diagnosis may be difficult, even including endomyocardial biopsy. CASE REPORT A 15-year-old healthy adolescent was admitted to our hospital 2 weeks after SARS-CoV-2 infection with cardiogenic shock due to ventricular tachycardia. After cardioversion, antiarrhythmic treatment, ventilation, and inotropic support, the severely reduced myocardial function recovered completely within 2 weeks. Cardiac magnetic resonance imaging and cardiac catheterisation including right ventricular endomyocardial biopsy revealed an increased number of CD68+ macrophages in the myocardium, but nested (RT-) polymerase chain reaction (PCR) investigations revealed no viral or bacterial DNA/RNA.DISCUSSION:
SARS-CoV-2 infection may be associated with myocarditis leading to life-threatening arrhythmia and severe myocardial systolic and diastolic dysfunction, which may be short lasting and completely recover. Although former SARS-Cov-2 infection might suggest SARS-CoV-2-associated myocarditis, definite histological diagnosis including nested PCR investigations remains difficult.
Полный текст:
Имеется в наличии
Коллекция:
Международные базы данных
база данных:
MEDLINE
Основная тема:
Tachycardia, Ventricular
/
COVID-19
/
Myocarditis
Тип исследования:
История болезни
/
Диагностическое исследование
Пределы темы:
Подростки
/
Люди
Язык:
английский
Журнал:
Swiss Med Wkly
Тематика журнала:
Медицина
Год:
2022
Тип:
Статья
Аффилированная страна:
SMW.2022.w30214
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