Open AccessCOVID-19-Associated Myocarditis in an Adolescent
Author(s) -
Brit Trogen,
Francisco J. González,
Gail F. Shust
Publication year - 2020
Publication title -
the pediatric infectious disease journal/the pediatric infectious disease journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.028
H-Index - 140
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/inf.0000000000002788
Subject(s) - myocarditis , medicine , septic shock , cardiology , magnetic resonance imaging , shock (circulatory) , troponin i , acute myocarditis , troponin , chest pain , covid-19 , cardiogenic shock , intensive care unit , emergency department , radiology , sepsis , disease , infectious disease (medical specialty) , myocardial infarction , psychiatry
A 17-year-old obese male was admitted to the pediatric intensive care unit after presenting with fluid-responsive septic shock following 7 days of fever, gastrointestinal symptoms and neck pain. Initial workup was positive for SARS-CoV-2 and elevated troponin I and brain natriuretic peptide. Echocardiography and cardiac magnetic resonance imaging confirmed acute myocarditis. One week after discharge, repeat echocardiogram demonstrated improved heart function with only residual myocardial dysfunction.