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Complete heart block and itchy rash in a patient with COVID-19

Mohammad Dehghani Firouzabadi1,2, Sogand Goudarzi3,2, Fatemeh Dehghani Firouzabadi4,1,2

  • 1ENT and Head and Neck Research Center and Department, Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Caspian Journal of Internal Medicine
|January 11, 2021
PubMed

Insights

This case report details a young woman with COVID-19 who experienced temporary complete heart block and a rash. Her heart rhythm normalized without intervention, highlighting rare COVID-19 presentations.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) is a global pandemic.
  • Complete heart block is a rare and potentially life-threatening cardiac complication of COVID-19.

Observation:

  • A young woman without prior medical history presented with COVID-19.
  • She developed a temporary complete heart block and a skin rash.
  • This occurred three weeks after treatment with an antiviral agent and hydroxychloroquine.

Findings:

  • Cardiac monitoring revealed temporary complete heart block.
  • Sinus rhythm normalized spontaneously without intervention.
  • The patient recovered fully, with normal Holter monitor results.

Implications:

  • This case underscores the importance of vigilant monitoring in COVID-19 patients.
  • Unusual presentations, including cardiac arrhythmias and neurological symptoms, warrant attention.
  • Prompt recognition of rare complications can guide patient management and improve outcomes.
Abstract

Keywords:
ArrhythmiaCOVID-19Complete heart blockCutaneous RashItching rashSARS-CoV-2Skin Manifestation

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