Asymmetric septal edema masking as hypertrophy in an infant with COVID-19 myocarditis.
Prog Pediatr Cardiol
; 64: 101464, 2022 Mar.
Article
in English
| MEDLINE | ID: covidwho-1525922
ABSTRACT
Cardiac disease in pediatric patients due to coronavirus SARS-CoV-2 disease (COVID-19) includes myocarditis and multisystem inflammatory syndrome, both of which can present with a broad range in severity. Here we describe an infant with COVID-19 causing fulminant myocarditis with inotrope-resistant acute heart failure requiring extracorporeal membrane oxygenation. The patient demonstrated an atypical finding of localized septal thickening suggestive of hypertrophic cardiomyopathy, but the diagnosis of myocarditis was confirmed by cardiac MRI. Serial echocardiography illustrated complete resolution of septal hypertrophy and normalized cardiac function. The current report highlights the potential severity of COVID-19 associated myocarditis, the potential for recovery, and the utility of cardiac MRI in confirming the mechanism.
BNP, brain natriuretic peptide; COVID-19; COVID-19, coronavirus SARS-CoV-2 disease; ECMO, extracorporeal membrane oxygenation; Extracorporeal membrane oxygenation; ICU, intensive care unit; MIS-C, multisystem inflammatory syndrome; MRI, magnetic resonance imaging; Magnetic resonance imaging; Myocarditis; PCR, polymerase chain reaction
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Prognostic study
Language:
English
Journal:
Prog Pediatr Cardiol
Year:
2022
Document Type:
Article
Affiliation country:
J.ppedcard.2021.101464
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