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Published on: May 31, 2017
COVID-19-Related Myocarditis: Are We There Yet? A Case Report of COVID-19-Related Fulminant Myocarditis
Alessandro Pierri1,2, Giulia Gagno1,2, Alessandra Fluca1,2
1Cardiothoracovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina, 34139 Trieste, Italy.
Insights
Sudden cardiac death in a young woman was linked to fulminant myocarditis following a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This case highlights the potential for direct cardiac involvement and severe outcomes from COVID-19.
Area of Science:
- Cardiology
- Virology
- Pathology
Background:
- COVID-19, caused by SARS-CoV-2, presents diverse cardiovascular complications.
- Acute myocarditis is a rare but severe manifestation of SARS-CoV-2 infection.
- Histological confirmation of cardiac injury in SARS-CoV-2 myocarditis is often lacking in reported cases.
Observation:
- A young woman experienced sudden death shortly after testing positive for SARS-CoV-2.
- Autopsy revealed microscopic and genetic evidence suggestive of direct cardiac involvement.
Findings:
- The findings are consistent with a diagnosis of fulminant myocarditis.
- This suggests a direct pathogenic role of SARS-CoV-2 in causing severe myocardial inflammation.
Implications:
- This case underscores the critical need for considering myocarditis in sudden deaths post-COVID-19.
- Further research is warranted to understand the mechanisms and long-term cardiac sequelae of SARS-CoV-2 infection.
- Early recognition and management of cardiac complications in COVID-19 patients are crucial.
Abstract:
There is increasing evidence of cardiac involvement in COVID-19 cases, with a broad range of clinical manifestations spanning from acute life-threatening conditions such as ventricular dysrhythmias, myocarditis, acute myocardial ischemia and pulmonary thromboembolism to long-term cardiovascular sequelae. In particular, acute myocarditis represents an uncommon but frightening complication of SARS-CoV-2 infection. Even if many reports of SARS CoV-2 myocarditis are present in the literature, the majority of them lacks histological confirmation of cardiac injury. Here, we report a case of a young lady, who died suddenly a few days after testing positive for SARS-CoV-2, whose microscopic and genetics features suggested a direct cardiac involvement compatible with fulminant myocarditis.
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