Cardiogenic Shock Caused by SARS-CoV-2 in a Patient with Serial Negative Nucleic Acid Amplification Tests. Case Report

Aina Gomila-Grange; M Espasa; E Moglia

doi:10.1007/s42399-020-00496-6

Cardiogenic Shock Caused by SARS-CoV-2 in a Patient with Serial Negative Nucleic Acid Amplification Tests. Case Report

SN Compr Clin Med. 2020;2(10):1903-1905. doi: 10.1007/s42399-020-00496-6. Epub 2020 Aug 31.

Authors

Aina Gomila-Grange¹, M Espasa², E Moglia³

Affiliations

¹ Infectious Diseases Department, Consorci Corporació Sanitària Parc Taulí, Parc Taulí 1, Sabadell, 08208 Barcelona, CP Spain.
² Microbiology Unit, Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain.
³ Intensive Care Unit, Consorci Corporació Sanitària Parc Taulí, Sabadell, Barcelona, Spain.

Abstract

Myocarditis is an unusual manifestation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It has been associated with increased severity of disease and mortality. The diagnosis of coronavirus disease 2019 (COVID-19) is based on positivity of nucleic acid amplification tests (NAAT) of respiratory samples. We report the case of a patient with cardiogenic shock caused by SARS-CoV-2 myocarditis with serial negative upper and lower respiratory nucleic acid amplification tests. Diagnosis was made by serology (positive IgM + IgA and IgG) from patient's serum sample of day 10 after symptoms' initiation.

Keywords: Coronavirus disease 2019; Myocarditis; Serology; Severe acute respiratory syndrome coronavirus 2.