Department of Radiology, Ankara City Hospital, Ankara, Turkey.
Department of Radiology, Ankara City Hospital, Ankara, Turkey.
Am J Emerg Med. 2020 Nov;38(11):2489.e1-2489.e2. doi: 10.1016/j.ajem.2020.05.100. Epub 2020 Jun 2.
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.
我们报告了一例 20 岁男性患者，无心血管疾病既往史，因新发发热和胸痛而入院。胸部 CT 显示胸膜下实变伴磨玻璃样混浊晕征。血液检查显示肌细胞坏死标志物（肌钙蛋白 I 和肌酸激酶-MB）升高。鼻咽拭子新冠病毒检测阳性。心脏 MRI 显示心肌水肿和晚期钆增强，符合 COVID-19 感染相关性心肌炎。本例表明急性心肌炎可能是 COVID-19 感染患者的首发表现。
