Acute myocarditis as the main clinical manifestation of SARS-CoV 2 infection

Gianluca Cuomo; Marianna Menozzi; Federica Carli; Margherita Digaetano; Alessandro Raimondi; Letizia Reggianini; Guido Ligabue; Giovanni Guaraldi; Cristina Mussini

doi:10.4081/idr.2020.8609

Acute myocarditis as the main clinical manifestation of SARS-CoV 2 infection

Infect Dis Rep. 2020 May 13;12(2):8609. doi: 10.4081/idr.2020.8609. eCollection 2020 May 29.

Authors

Gianluca Cuomo¹, Marianna Menozzi¹, Federica Carli¹, Margherita Digaetano¹, Alessandro Raimondi^{1

2}, Letizia Reggianini³, Guido Ligabue^{2

4}, Giovanni Guaraldi^{1

2}, Cristina Mussini^{1

2}

Affiliations

¹ Infectious Diseases Clinic, University Hospital of Modena.
² University of Modena and Reggio Emilia.
³ Cardiology Clinic, University Hospital of Modena.
⁴ Radiology Unit, University Hospital of Modena, Italy.

Abstract

We describe a case of acute myocarditis, which was reported as the main COVID-19 clinical manifestation, with a favorabile outcome. In addition to symptoms, laboratory tests (BNP and troponin), echocardiogram and cardiac MRI contributed to diagnosis. Regardless heart biopsy was not obtained, it is likely an immunological pathogenesis of this condition which pave the way to further therapeutic implications, since there are currently no standardized treatments.

Keywords: COVID-19; COVID-19 Extrapulmonary Manifestations; Coronavirus; Myocarditis; SARS-CoV2.

Grants and funding

Funding: None.