COVID-19 related myopericarditis in a 29-year-old patient: A case report

Authors : Goh WP , Khaw JY , Tan JW , Goh WA , Aw Tan YL , Tan SW

DOI : 10.18231/j.sajcrr.2023.004

Volume : 10

Issue : 1

Year : 2023

Page No : 20-23

Introduction: The manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, are mainly characterized by respiratory symptoms. However, cardiac manifestations such as acute myopericarditis have been reported to be associated with COVID-19 infection.
Case Description: A 29-year-old female patient presented with a 2-day history of fever, cough, runny nose, and myalgia, and tested COVID-19 positive at Penang General Hospital, Pulau Pinang, Malaysia. On day 2 of admission, the patient complained of acute onset central chest pain, radiating to her back, associated with cold sweat, shortness of breath and generalised body ache. On examination, tachycardia and tachypnoea were elicited. The serial electrocardiography (ECG) showed persistent non-specific sinus tachycardia. Troponin T level was elevated at 99 ng/L (normal <15>70%.
Conclusion: COVID-19 patients may develop severe cardiac complications such as myopericarditis. Clinicians should have a high index of suspicion of COVID-related myopericarditis in COVID-19 management. Further study should be implemented to investigate the association between COVID-19 and myopericarditis.


Keywords: COVID­19, Myopericarditis, Pericarditis


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