Acute pericarditis and severe acute respiratory syndrome coronavirus 2: Case report
| Autor: | Dragana Bosnjakovic, Srdjan Arsenovic, Nikola R. Blagojevic, Jelena Suzic Lazic, Vladan Vukomanovic, Marijana Tadic |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty 030106 microbiology Chest pain Gastroenterology Pericardial effusion lcsh:Infectious and parasitic diseases 03 medical and health sciences Pericarditis 0302 clinical medicine Acute pericarditis Internal medicine Medicine Pericardium lcsh:RC109-216 030212 general & internal medicine Myocardial infarction SARS-CoV-2 business.industry ST elevation COVID-19 General Medicine medicine.disease 3. Good health Infectious Diseases medicine.anatomical_structure Lymphocytopenia medicine.symptom business |
| Zdroj: | International Journal of Infectious Diseases, Vol 101, Iss, Pp 180-182 (2020) International Journal of Infectious Diseases |
| ISSN: | 1201-9712 |
| DOI: | 10.1016/j.ijid.2020.09.1440 |
| Popis: | We present the case of a 51-year-old patient with acute pericarditis as the dominant manifestation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient was admitted to the emergency department during a coronavirus disease 2019 (COVID-19) outbreak with a suspected ST-elevation myocardial infarction. A coronary angiogram was normal. Real-time reverse transcriptase PCR for the detection of nucleic acid from SARS-CoV-2 in a nasopharyngeal swab was positive. Laboratory tests revealed an increased white blood cell count, with neutrophilia and lymphocytopenia, elevated level of C-reactive protein, borderline elevated erythrocyte sedimentation rate, and slightly elevated interleukin 6. Echocardiography showed a hyperechogenic pericardium posterolaterally with minimal localized pericardial effusion. A chest computed tomography scan showed a small zone of ground-glass opacity in the right lower lobe (classified as CO-RADS 3). In patients with chest pain, ST elevation on electrocardiogram, a normal coronary angiogram, and suspected COVID-19, we should think of pericarditis as an unusual presentation of SARS-CoV-2 infection. |
| Databáze: | OpenAIRE |
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