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Recurrent pericarditis after Covid-19

David Rodrigo Domínguez1, Amalia Rueda Cid2, Cristina Campos Fernández2

  • 1Servicio de Medicina Interna, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.

Reumatologia Clinica
|December 28, 2021
PubMed

Insights

This case study discusses a rheumatoid arthritis patient experiencing recurrent pericarditis as a debut symptom of COVID-19. It highlights the importance of considering COVID-19 in the differential diagnosis for such presentations.

Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Cardiology

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease.
  • COVID-19 is a viral infection with diverse clinical manifestations.
  • Recurrent pericarditis can be a complication of autoimmune conditions and infections.

Observation:

  • A patient with a known history of rheumatoid arthritis presented with recurrent pericarditis.
  • The patient was subsequently diagnosed with COVID-19.
  • The pericarditis was the initial presenting symptom of the COVID-19 infection.

Findings:

  • COVID-19 can manifest with cardiac complications, including pericarditis.
  • Recurrent pericarditis may be an early or sole indicator of SARS-CoV-2 infection.
  • The interplay between rheumatoid arthritis and COVID-19 in pericarditis requires careful diagnostic evaluation.

Implications:

  • Clinicians should consider COVID-19 in the differential diagnosis of new-onset or recurrent pericarditis, especially in patients with autoimmune diseases like rheumatoid arthritis.
  • Early diagnosis of COVID-19 in such cases is crucial for timely management and to prevent potential cardiac sequelae.
  • This case underscores the multifaceted nature of COVID-19 presentations and its potential to mimic or exacerbate underlying inflammatory conditions.

Keywords:
Artritis reumatoideBiological treatmentCOVID-19Covid-19PericarditisRheumatoid arthritisTratamiento biológico

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