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Acute pericarditis and severe acute respiratory syndrome coronavirus 2: Case report.
Blagojevic, Nikola R; Bosnjakovic, Dragana; Vukomanovic, Vladan; Arsenovic, Srdjan; Lazic, Jelena Suzic; Tadic, Marijana.
  • Blagojevic NR; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia. Electronic address: n.blagojevic0205@gmail.com.
  • Bosnjakovic D; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia.
  • Vukomanovic V; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia.
  • Arsenovic S; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia.
  • Lazic JS; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia; Medical Faculty, University of Belgrade, Serbia.
  • Tadic M; University Clinical Center "Dr. Dragisa Misovic-Dedinje", Belgrade, Serbia.
Int J Infect Dis ; 101: 180-182, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-920296
ABSTRACT
We present the case of a 51-year-old patient with acute pericarditis as the dominant manifestation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient was admitted to the emergency department during a coronavirus disease 2019 (COVID-19) outbreak with a suspected ST-elevation myocardial infarction. A coronary angiogram was normal. Real-time reverse transcriptase PCR for the detection of nucleic acid from SARS-CoV-2 in a nasopharyngeal swab was positive. Laboratory tests revealed an increased white blood cell count, with neutrophilia and lymphocytopenia, elevated level of C-reactive protein, borderline elevated erythrocyte sedimentation rate, and slightly elevated interleukin 6. Echocardiography showed a hyperechogenic pericardium posterolaterally with minimal localized pericardial effusion. A chest computed tomography scan showed a small zone of ground-glass opacity in the right lower lobe (classified as CO-RADS 3). In patients with chest pain, ST elevation on electrocardiogram, a normal coronary angiogram, and suspected COVID-19, we should think of pericarditis as an unusual presentation of SARS-CoV-2 infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericarditis / SARS-CoV-2 / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Int J Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericarditis / SARS-CoV-2 / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Randomized controlled trials Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Int J Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article