Acute pericarditis and SARS-CoV-2: case report
| Autor: | Blagojevic, Nikola R., Bosnjakovic, Dragana, Vukomanovic, Vladan, Arsenovic, Srdjan, Lazic, Jelena Suzic, Tadic, Marijana |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | International Journal of Infectious Diseases |
| ISSN: | 1878-3511 1201-9712 |
| Popis: | Highlights • Pericarditis may be a dominant manifestation of SARS-CoV-2 infection. • In a patient with chest pain, normal coronary angiogram and ST elevation on ECG we should think of pericarditis. • Basic clinical tools in the setting of COVID19 epidemic should not be forgotten and may be of great help. We present a case of a 51-year-old patient with acute pericarditis as the dominant manifestation of SARS-CoV-2 infection. The patient was admitted to the emergency department during a COVID-19 outbreak with a suspected ST-elevation myocardial infarction. Coronary angiogram was normal. The real-time reverse transcriptase PCR assay for the detection of nucleic acid from SARS-CoV-2 in nasopharyngeal swab was positive. The laboratory tests revealed increased white blood cell count, with neutrophilia and lymphocytopenia, elevated level of C reactive protein, borderline ESR and slightly elevated interleukin-6. Echocardiography showed hyperechogenic pericardium posterolaterally with minimal localized pericardial effusion. A chest computed tomography scan showed a small zone of ground-glass opacity of the right lower lobe (classified as CO-RADS 3). In patients with chest pain, ST elevation on ECG, normal coronary angiogram, and suspected COVID-19, we should think of the pericarditis, as unusual SARS-CoV-2 infection presentation. |
| Databáze: | OpenAIRE |
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