Delayed acute myocarditis with COVID-19 infection

Mahmoud Ismayl; Waiel Abusnina; Abhishek Thandra; Ahmed Sabri; Darren Groh; Arun Kanmanthareddy; Venkata M Alla

doi:10.1080/08998280.2022.2030189

Delayed acute myocarditis with COVID-19 infection

Proc (Bayl Univ Med Cent). 2022 Feb 10;35(3):366-368. doi: 10.1080/08998280.2022.2030189. eCollection 2022.

Authors

Mahmoud Ismayl¹, Waiel Abusnina², Abhishek Thandra², Ahmed Sabri³, Darren Groh³, Arun Kanmanthareddy², Venkata M Alla²

Affiliations

¹ Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska.
² Division of Cardiovascular Diseases, Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska.
³ Department of Pathology, Creighton University School of Medicine, Omaha, Nebraska.

Abstract

Myocardial injury occurs in 20% to 30% of hospitalized patients with COVID-19 infection, and cardiovascular complications contribute to approximately 40% of all COVID-19-related deaths. Most cases of myocarditis related to COVID-19 infection occur in the acute phase of infection and are self-limited. We describe a case of delayed-onset fulminant myocarditis that developed 5 weeks after mild COVID-19 infection leading to cardiogenic shock and the need for mechanical circulatory support. Our case illustrates how myocarditis can occur as a late complication of COVID-19 infection, even in those with a mild initial course.

Keywords: Acute heart failure; COVID-19; cardiogenic shock; myocarditis.

Publication types

Case Reports