ABSTRACT
Pericarditis with pericardial effusion in SARS CoV-2 infection is a well-known entity in adults. In children and adolescents, only a few cases have been reported. Here, we present here a case of a 15-year-old girl affected by Sotos syndrome with pre-tamponed pericardial effusion occurred during SARS-CoV-2 infection. A possible relation between SARS-CoV-2 pericarditis and genetic syndromes, as a major risk factor for the development of severe inflammation, has been speculated. We emphasize the importance of active surveillance by echocardiograms when SARS-CoV-2 infection occurs in combination with a genetic condition.
Subject(s)
COVID-19/metabolism , Cardiac Tamponade/physiopathology , Pericardial Effusion/physiopathology , Adolescent , Cardiac Tamponade/complications , Cardiac Tamponade/virology , Echocardiography/adverse effects , Female , Humans , Pericarditis/complications , Pericarditis/diagnosis , Risk Factors , SARS-CoV-2/metabolism , SARS-CoV-2/pathogenicity , Sotos Syndrome/complications , Sotos Syndrome/virologySubject(s)
Cardiac Tamponade/etiology , Cardiopulmonary Resuscitation/methods , Coronavirus Infections/complications , Heart Arrest/etiology , Myocarditis/etiology , Pneumonia, Viral/complications , Severe Acute Respiratory Syndrome/complications , Aged , COVID-19 , Cardiac Tamponade/physiopathology , Cardiac Tamponade/therapy , Coronavirus Infections/diagnosis , Disease Progression , Fatal Outcome , Heart Arrest/physiopathology , Heart Arrest/therapy , Humans , Male , Myocarditis/physiopathology , Myocarditis/therapy , Pandemics , Pneumonia, Viral/diagnosis , Respiration, Artificial/methods , Severe Acute Respiratory Syndrome/diagnosis , Severe Acute Respiratory Syndrome/therapy , SpainABSTRACT
The vast majority of patients in the ongoing coronavirus Disease 2019 (Covid-19) pandemic primarily present with severe respiratory illness. We report a Covid-19 patient who presented with findings of acute coronary syndrome and was found to have purulent fulminant myopericarditis and cardiac tamponade. We compare our case to the previously reported instances of Covid-19-associated myocarditis. Through review of the available literature, we also highlight the potential mechanisms of cardiac injury in Covid-19. We hope to increase awareness amongst clinicians about this unusual presentation of Covid-19.