ST elevation revealing acute myocarditis with SARS cov 2 infection: Case report

Area of Science:

• Cardiology
• Infectious Diseases
• Internal Medicine

Background:

• Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection commonly presents with respiratory symptoms.
• However, SARS-CoV-2 can also lead to diverse cardiovascular manifestations, including acute coronary syndrome, pericardial effusion, and heart failure.

Observation:

• A 51-year-old patient presented to the emergency room with epigastric pain and ST-segment elevation on electrocardiogram.
• The patient exhibited no respiratory signs, and subsequent diagnosis revealed myocarditis and SARS-CoV-2 infection.

Findings:

• This case highlights that SARS-CoV-2 can present with atypical symptoms, such as epigastric pain mimicking cardiac events.
• Myocarditis was identified as a complication in this patient with SARS-CoV-2 infection.

Implications:

• Clinicians should consider SARS-CoV-2 infection in patients presenting with atypical symptoms, especially during a pandemic.
• Broadening the differential diagnosis for cardiac and gastrointestinal symptoms to include SARS-CoV-2 is essential for timely diagnosis and management.