Myocarditis and coronary aneurysms in a child with acute respiratory syndrome coronavirus 2
Autor: | Chiara Zarbo, Alessandro Rocca, Marianna Fabi, Gaetano Gargiulo, Andrea Donti, Fabio Niro, Daniela Di Luca, Cristina Ciuca, Marcello Lanari, Anna Balducci, Chiara Ghizzi |
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Přispěvatelé: | Ciuca C., Fabi M., Di Luca D., Niro F., Ghizzi C., Donti A., Balducci A., Rocca A., Zarbo C., Gargiulo G.D., Lanari M. |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Myocarditis Coronary aneurysms Myocarditi Case Report Case Reports 030204 cardiovascular system & hematology medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Cardiac magnetic resonance imaging COVID‐19 Internal medicine medicine 030212 general & internal medicine Children Coronavirus Aspirin Respiratory distress medicine.diagnostic_test business.industry Cardiogenic shock COVID-19 Coronary aneurysm Shock medicine.disease lcsh:RC666-701 Heart failure Shock (circulatory) Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug |
Zdroj: | ESC Heart Failure ESC Heart Failure, Vol 8, Iss 1, Pp 761-765 (2021) |
Popis: | A 6‐year‐old African boy with multi‐viral infection including parvovirus B19 and severe acute respiratory syndrome coronavirus 2 was admitted for persistent fever associated with respiratory distress and myocarditis complicated by cardiogenic shock needing ventilatory and inotropic support. Coronary aneurysms were also documented in the acute phase. Blood tests were suggestive of macrophage activation syndrome. He was treated with intravenous immunoglobulins, aspirin, diuretics, dexamethasone, hydroxychloroquine, and prophylactic low molecular weight heparin. Normalization of cardiac performance and coronary diameters was noticed within the first days. Cardiac magnetic resonance imaging, performed 20 days after the hospitalization, evidenced mild myocardial interstitial oedema with no focal necrosis, suggesting a mechanism of cardiac stunning related to cytokines storm rather than direct viral injury of cardiomyocytes. |
Databáze: | OpenAIRE |
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