Cardiogenic Shock due to COVID-19-Related Myocarditis in a 19-Year-Old Autistic Patient
| Autor: | Greta Pascariello, Marco Metra, Polyxeni Garyfallidis, Emiliano Calvi, Giuliana Cimino, Davide Fabbricatore, Carlo Lombardi, Enrico Vizzardi, Elisa Pezzola, Michele Grigolato, Nicola Bernardi |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty Myocarditis Ejection fraction Coronavirus disease 2019 (COVID-19) business.industry medicine.medical_treatment Cardiogenic shock COVID-19 Case Report Echocardiography medicine.disease Oliguria Viral pneumonia Internal medicine medicine Cardiology Respiratory system medicine.symptom business |
| Zdroj: | Journal of Medical Cases |
| Popis: | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and was treated with adrenaline, antiviral drugs and mechanical ventilation. Echocardiography revealed diffuse myocardial hypo-akinesia and decreased left ventricular ejection fraction (LVEF). After several days of treatment, the patient was weaned off mechanical ventilation, LVEF recovered to 50% and laboratory tests showed a decrease of markers of myocardial injury. Coronavirus disease 2019 (COVID-19) can therefore severely affect myocardium with life-threatening complications and even young people can be involved. |
| Databáze: | OpenAIRE |
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