COVID-19-Associated Suspected Myocarditis as the Etiology for Recurrent and Protracted Fever in an Otherwise Healthy Adult

Ina Volis; Ido Livneh; Khetam Hussein; Ayelet Raz-Pasteur

doi:10.1016/j.amjms.2020.11.001

COVID-19-Associated Suspected Myocarditis as the Etiology for Recurrent and Protracted Fever in an Otherwise Healthy Adult

Am J Med Sci. 2021 Apr;361(4):522-525. doi: 10.1016/j.amjms.2020.11.001. Epub 2020 Nov 4.

Authors

Ina Volis¹, Ido Livneh², Khetam Hussein³, Ayelet Raz-Pasteur⁴

Affiliations

¹ Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel; "KETER" - COVID-19 Department, Rambam Health Care Campus, Haifa, Israel; The Rappaport Faculty of Medicine and Research Institute, Technion - Israel Institute of Technology, Haifa, Israel. Electronic address: [email protected].
² The Rappaport Faculty of Medicine and Research Institute, Technion - Israel Institute of Technology, Haifa, Israel.
³ "KETER" - COVID-19 Department, Rambam Health Care Campus, Haifa, Israel; The Rappaport Faculty of Medicine and Research Institute, Technion - Israel Institute of Technology, Haifa, Israel; Infection Control Unit, Rambam Health Care Campus, Haifa, Israel.
⁴ Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel; "KETER" - COVID-19 Department, Rambam Health Care Campus, Haifa, Israel; The Rappaport Faculty of Medicine and Research Institute, Technion - Israel Institute of Technology, Haifa, Israel; Infection Control Unit, Rambam Health Care Campus, Haifa, Israel.

Abstract

Current reports concerning cardiac involvement in the novel corona virus disease (COVID-19) mostly document acute myocardial injury at presentation. Here, we present a healthy young male, with presumed acute myocarditis, presenting 20 days after initial diagnosis of COVID-19 - and after a clinical, and apparent laboratory, resolution of the original episode. His sole substantial clinical finding upon admission was fever, which was followed by a witnessed elevation in troponin-I.

Keywords: COVID-19; Myocardial injury; Myocarditis; SARS-CoV-2; Viral cardiovascular complications.

Publication types

Case Reports
Research Support, Non-U.S. Gov't
Review

MeSH terms

Biomarkers / blood
C-Reactive Protein / metabolism
COVID-19 / complications*
COVID-19 / virology
Electrocardiography
Fever / complications*
Humans
Male
Myocarditis / blood
Myocarditis / etiology*
Myocarditis / physiopathology
Recurrence
SARS-CoV-2 / isolation & purification
Troponin I / blood
Young Adult

Substances

Biomarkers
Troponin I
C-Reactive Protein