Internal Medicine, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain.
Emergency Medicine, La Paz University Hospital, Madrid, Spain.
BMJ Case Rep. 2021 Apr 13;14(4):e241696. doi: 10.1136/bcr-2021-241696.
We report COVID-19 multisystemic inflammatory syndrome in an adult patient with an atypical presentation (mild abdominal pain) and a negative (repeated) reverse transcriptase-PCR, in the absence of lung involvement on lung ultrasound. In this case, focused cardiac ultrasound revealed signs of myopericarditis and enabled us to focus on the problem that was putting our patient in a perilous situation, with a quick, non-time-consuming and easy-to-access technique. Serology test was performed and SARS-CoV-2 infection was confirmed more than a week after admission to the coronary unit. As the patient had a general good appearance, the potential implications of missing this diagnosis could have been fatal.
我们报告了一例 COVID-19 多系统炎症综合征成年患者，其表现不典型（轻度腹痛），且反转录聚合酶链反应（RT-PCR）结果为阴性（多次重复检测），肺部超声未见肺部受累。在这种情况下，心脏超声检查发现心肌心包炎的迹象，使我们能够关注使患者处于危险境地的问题，该技术快速、非耗时且易于获取。入院后一周多进行了血清学检测，证实存在 SARS-CoV-2 感染。由于患者一般情况良好，如果漏诊，可能会导致致命后果。
