key: cord-294736-ji4jz3h6
authors: Beşler, Muhammed Said; Arslan, Halil
title: Acute myocarditis associated with COVID-19 infection()
date: 2020-06-02
journal: Am J Emerg Med
DOI: 10.1016/j.ajem.2020.05.100
sha: 
doc_id: 294736
cord_uid: ji4jz3h6

We present the case of a 20-year-old male patient without previous history of cardiovascular disease who was admitted to our hospital with a new onset febrile sensation and chest pain. Chest computed tomography revealed a subpleural consolidation with a halo of ground-glass opacification. Blood tests revealed elevated levels of markers of myocyte necrosis (troponin I and creatine kinase–MB). Nasopharyngeal swab was positive for COVID-19. Cardiac MRI showed myocardial edema and late gadolinium enhancement compatible with myocarditis associated with COVID-19 infection. This case showed that acute myocarditis can be the initial presentation of patients with COVID-19 infection.

Coronavirus disease 2019 (COVID-19) has been declared a world-wide public health emergency. There is limited published data concerning cardiovascular presentations in the wake of viral epidemics [1] . Acute or fulminant myocarditis as well as heart failure have been reported with Middle East respiratory syndrome coronavirus and could be expected to occur with SARS-CoV-2, given the similar pathogenicity [2] . Previous severe acute respiratory syndrome (SARS) beta-coronavirus infections could be associated with tachyarrhythmias and signs and symptoms of heart failure [3] . The current report describes a case of myocarditis in 

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