SARS-CoV-2 Infection with Associated Rhabdomyolysis and Probable Myocarditis

Franco Murillo; Gastón Ramos; José Luis Del Pozo; Luis Manuel Valdez; Jorge Zagaceta

doi:10.12890/2020_001867

SARS-CoV-2 Infection with Associated Rhabdomyolysis and Probable Myocarditis

Eur J Case Rep Intern Med. 2020 Aug 19;7(9):001867. doi: 10.12890/2020_001867. eCollection 2020.

Authors

Franco Murillo¹, Gastón Ramos¹, José Luis Del Pozo², Luis Manuel Valdez^{1

3

4}, Jorge Zagaceta^{1

3}

Affiliations

¹ Clínica Anglo-Americana, Lima, Peru.
² Clínica Universidad de Navarra, Pamplona, Spain.
³ Facultad de Medicina Humana, Universidad de Piura, Lima, Peru.
⁴ Departamento de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru.

Abstract

We describe a patient with SARS-CoV-2 and severe pneumonia who required mechanical ventilation and developed associated rhabdomyolysis with probable myocardial involvement as evidenced by cardiac enzyme abnormalities and echocardiographic findings. Repeat testing should be done in cases highly suspicious for SARS-CoV-2 as initial molecular tests may be negative, as in our case.

Learning points: SARS-CoV-2 infection may be associated with rhabdomyolysis and myocarditis.Negative results for SARS-CoV-2 despite a clinical presentation suggestive of COVID-19 disease should be treated with caution.Drugs known to cause rhabdomyolysis and myocarditis should be carefully reviewed when treating SARS-CoV-2 patients.

Keywords: SARS-CoV-2; myocarditis; rhabdomyolysis.