Rehman Mahin, Gondal Amlish, Rehman Najeeb U
Internal Medicine, Guthrie Clinic, Robert Packer Hospital, Sayre, USA.
Cardiology, Guthrie Clinic, Robert Packer Hospital, Sayre, USA.
Cureus. 2020 Jun 18;12(6):e8685. doi: 10.7759/cureus.8685.
We present a case of a 39-year-old male who presented with chest pain without fever or respiratory symptoms. Troponins were elevated and electrocardiogram (ECG) was inconclusive for ST-elevation myocardial infarction (STEMI). Angiography revealed normal coronaries and the patient was found to be coronavirus disease 2019 (COVID-19) positive; he was diagnosed with COVID-19 myocarditis. With the global pandemic, more cases are emerging regarding myocardial injury induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. Although COVID-19 manifests primarily as respiratory disease, few cases of cardiac injury without respiratory involvement or febrile illness have been reported. This case illustrates that COVID-19 can present atypically and affect an isolated non-respiratory organ system.
我们报告一例39岁男性病例，该患者表现为胸痛，无发热或呼吸道症状。肌钙蛋白升高，心电图（ECG）对于ST段抬高型心肌梗死（STEMI）的诊断不明确。血管造影显示冠状动脉正常，该患者新型冠状病毒肺炎（COVID-19）检测呈阳性；他被诊断为COVID-19心肌炎。随着全球大流行，由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒引起的心肌损伤病例越来越多。虽然COVID-19主要表现为呼吸道疾病，但很少有不伴有呼吸道受累或发热性疾病的心脏损伤病例报道。该病例表明，COVID-19可能表现不典型，并影响孤立的非呼吸器官系统。
