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Acute Fulminant Myocarditis in a Pediatric Patient With COVID-19 Infection

Diego Lara1,2, Thomas Young1,2, Kamill Del Toro1

  • 1Ochsner Hospital for Children, New Orleans, Louisiana; and.

Pediatrics
|August 5, 2020
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause severe heart inflammation (myocarditis) in children. This case report details a rare instance of fulminant myocarditis in an adolescent with COVID-19.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Cardiovascular Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) predominantly affects the lungs.
  • Cardiac injury, including myocarditis, is observed in adults with COVID-19.
  • Pediatric COVID-19 cases and associated cardiac conditions are infrequently reported.

Purpose of the Study:

  • To report a rare case of severe cardiac disease in an adolescent with COVID-19.
  • To highlight the potential for COVID-19 to cause fulminant myocarditis in pediatric patients.
  • To contribute to the understanding of COVID-19's impact on the pediatric cardiovascular system.

Main Methods:

  • Case presentation of an adolescent female diagnosed with COVID-19.
  • Clinical assessment including electrocardiography and cardiac biomarkers.
  • Echocardiographic evaluation of cardiac function and structure.

Main Results:

  • The patient presented with fulminant myocarditis and complete heart block.
  • Elevated troponin I levels indicated significant myocardial injury.
  • Severely depressed systolic function was documented.
  • COVID-19 infection was confirmed as the likely cause.

Conclusions:

  • COVID-19 can lead to severe myocarditis and cardiac dysfunction in adolescents.
  • This case underscores the importance of considering cardiac involvement in pediatric COVID-19.
  • Further research is needed to understand the long-term cardiovascular sequelae of COVID-19 in children.

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