Cardiogenic Shock due to COVID-19-Related Myocarditis in a 19-Year-Old Autistic Patient

Greta Pascariello, Giuliana Cimino, Emiliano Calvi, Nicola Bernardi, Michele Grigolato, Polyxeni Garyfallidis, Davide Fabbricatore, Elisa Pezzola, Carlo M. Lombardi, Marco Metra, Enrico Vizzardi

Abstract


Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and was treated with adrenaline, antiviral drugs and mechanical ventilation. Echocardiography revealed diffuse myocardial hypo-akinesia and decreased left ventricular ejection fraction (LVEF). After several days of treatment, the patient was weaned off mechanical ventilation, LVEF recovered to 50% and laboratory tests showed a decrease of markers of myocardial injury. Coronavirus disease 2019 (COVID-19) can therefore severely affect myocardium with life-threatening complications and even young people can be involved.





J Med Cases. 2020;11(7):207-210
doi: https://doi.org/10.14740/jmc3517

Keywords


COVID-19; Myocarditis; Cardiogenic shock; Echocardiography

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