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Fulminant myocarditis: COVID or not COVID? Reinfection or co-infection?
Yeleti, Ramya; Guglin, Maya; Saleem, Kashif; Adigopula, Sasikanth V; Sinha, Anjan; Upadhyay, Smrity; Everett, Jeffrey E; Ballut, Kareem; Uppuluri, Sarada; Rao, Roopa A.
  • Yeleti R; College of Osteopathic Medicine, Marion University, 3200 Cold Spring Rd, Indianapolis, IN 46222, USA.
  • Guglin M; Patient Author, Carmel, Indiana, IN 46032, USA.
  • Saleem K; Division of Cardiology, Krannert Institute of Cardiology at Indiana University School of Medicine, 1800 N Capital Ave, Indianapolis, IN 46202, USA.
  • Adigopula SV; Division of Cardiothoracic Surgery, Indiana University School of Medicine, 1701 N Senate Blvd, Indianapolis, IN 46202, USA.
  • Sinha A; Division of Cardiology, Community Heart & Vascular Hospital, 8075 Shadeland Ave, Indianapolis, IN 46250, USA.
  • Upadhyay S; Division of Cardiology, Krannert Institute of Cardiology at Indiana University School of Medicine, 1800 N Capital Ave, Indianapolis, IN 46202, USA.
  • Everett JE; Division of Infectious Disease, Indiana University School of Medicine, 545 Barnhill Dr. Emerson Hall 305, Indianapolis, IN 46202, USA.
  • Ballut K; Division of Cardiothoracic Surgery, Indiana University School of Medicine, 1701 N Senate Blvd, Indianapolis, IN 46202, USA.
  • Uppuluri S; Division of Cardiology, Krannert Institute of Cardiology at Indiana University School of Medicine, 1800 N Capital Ave, Indianapolis, IN 46202, USA.
  • Rao RA; Division of Cardiology, Community Heart & Vascular Hospital, 8075 Shadeland Ave, Indianapolis, IN 46250, USA.
Future Cardiol ; 17(8): 1307-1311, 2021 11.
Article in English | MEDLINE | ID: covidwho-1094128
ABSTRACT
We describe a unique case of fulminant myocarditis in a patient with presumed SARS-CoV-2 reinfection. Patient had initial infection 4 months backand had COVID-19 antibody at the time of presentation. Endomyocardial biopsy showed lymphocytic myocarditis, that is usually seen in viral myocarditis. The molecular diagnostic testing of the endomyocardial biopsy for cardiotropic viruses was positive for Parvovirus and negative for SARS-CoV-2. Authors highly suspect co-infection of SARS-CoV-2 and Parvovirus, that possibly triggered the immune cascade resulting in fulminant myocarditis. Patient was hemodynamically unstable with ventricular tachycardia and was supported on VA ECMO and Impella CP. There was impressive recovery of left ventricular function within 48 h, leading to decannulation of VA ECMO in 72 h. This unique case was written by the survivor herself.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coinfection / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study / Prognostic study Limits: Humans Language: English Journal: Future Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Fca-2020-0237

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coinfection / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study / Prognostic study Limits: Humans Language: English Journal: Future Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Fca-2020-0237