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Myopericarditis as a Delayed Complication of COVID-19 Infection: A Case Report
Marvi Moreno1, Brianna Yee2, Lubaba Haque2
1Medical School, Kirk Kerkorian School of Medicine at the UNLV (University of Nevada, Las Vegas), Las Vegas, USA.
Abstract:
Pericarditis is the inflammation of the pericardial layers. Myopericarditis is diagnosed when this inflammation involves the myocardium, which is marked by elevated serum cardiac enzymes. With these two pathologies sharing overlaps in etiology, we present a case of a young patient with a recent history of COVID-19 infection who presented with pleuritic and positional chest pain with troponin I elevation and serial ECG changes attributed to myopericarditis as a post-viral sequela of severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection. This case demonstrates the importance of identifying and managing the potential cardiac complications in coronavirus disease 2019 (COVID-19) patients, regardless of age or symptom onset.
Insights
Myopericarditis, inflammation of the heart lining and muscle, can occur after COVID-19 infection. This case highlights the need to monitor for cardiac complications in all coronavirus disease 2019 patients.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Pericarditis is inflammation of the pericardial layers.
- Myopericarditis involves both pericardial and myocardial inflammation, indicated by elevated cardiac enzymes.
Observation:
- A young patient with recent coronavirus disease 2019 (COVID-19) presented with chest pain.
- Symptoms included pleuritic and positional chest pain, troponin I elevation, and serial ECG changes.
Findings:
- The patient was diagnosed with myopericarditis as a post-viral sequela of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
- This diagnosis was supported by elevated cardiac enzymes and electrocardiogram (ECG) abnormalities.
Implications:
- This case underscores the importance of recognizing and managing cardiac complications following COVID-19.
- Early identification and intervention are crucial for patients with potential post-viral cardiac sequelae, irrespective of age.
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Pericarditis I: Introduction
Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis III: Medical Management

