COVID-19 Induced Fulminant Myocarditis – A Case Study

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COVID-19 Induced Fulminant Myocarditis – A Case Study

June 23, 2022 Medical Science 0

A 31-year-old patient originally showed up at another clinic with symptoms of generalised myalgia, a mild temperature, and throat pain. The patient tested positive for COVID-19, demonstrating that he was infected with the virus. The patient was given antibiotics and an antipyretic and was sent home with strict home isolation guidelines since his chest CT scan was normal and had no indications of COVID-19 consolidation. For the second occasion, the same patient arrived at the emergency room. This time, his symptoms were considerably more severe. In addition to having a worsening cough and extreme weariness, he also looked like he was suffering from significant shortness of breath. With tachycardia and tachypnea, the patient was clearly pretty ill. His oxygen saturation levels were barely 85%, thus he needed immediate oxygen assistance. He had an increased JVP, and his neck veins were noticeably swollen. On chest auscultation, he made faint heart sounds and bibasilar crackles. One could feel the left lobe of the liver. However, no other part of the body exhibited ascites or fluid retention. His ECG indicated that he had sinus tachycardia. Despite the fact that myocardial ischemia was the cause of the ECG’s evident ST-segment elevation, it persisted. Cardiomegaly was discovered on the prior chest X-ray, which was previously normal. The information confirmed the theory that the heart was a key component of the equation. In the end, it was determined that this was a textbook instance of acute fulminant myocarditis brought on by COVID-19. Although the diagnosis required some time, the patient was treated before any other problems emerged thanks to his quick admission at the emergency room. Due to the complex structure of the virus itself, it can impact practically anybody, albeit people with pre-existing cardiac issues or a propensity to acquiring them are more likely to experience such results. In order to make it simpler for others to comprehend and diagnose similar circumstances, this case study tries to reflect on all of the potential components of this particular issue. In this case report, the presenting symptoms and potential therapeutic options for individuals who could have fulminant myocarditis as a result of COVID-19 infection are discussed.

Author(s) Details:

Mohamed Eltaieb Ali,
Internal Medicine Department, Madinat Zayed Hospital, UAE.

Ashraf Alakkad,
Internal Medicine Department, Madinat Zayed Hospital, UAE.

Please see the link here: https://stm.bookpi.org/NHMMR-V11/article/view/7154

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