Delayed acute myocarditis with COVID-19 infection.

Area of Science:

• Cardiology
• Infectious Diseases
• Pathology

Background:

• Cardiovascular complications are a significant cause of mortality in COVID-19 patients.
• Myocardial injury affects 20-30% of hospitalized COVID-19 cases.
• Most COVID-19-related myocarditis presents during the acute infection phase.

Observation:

• A case of delayed-onset fulminant myocarditis is presented.
• Myocarditis developed five weeks after a mild COVID-19 infection.
• The patient experienced cardiogenic shock requiring mechanical circulatory support.

Findings:

• Myocarditis can manifest as a late complication of COVID-19.
• Delayed-onset myocarditis can occur even after mild SARS-CoV-2 infection.
• Fulminant myocarditis can lead to severe hemodynamic compromise.

Implications:

• Clinicians should consider myocarditis in patients with unexplained cardiac dysfunction post-COVID-19.
• This case expands the understanding of the cardiovascular sequelae of COVID-19.
• Awareness of late-onset myocarditis is crucial for timely diagnosis and management.