Why the study?
Cardiovascular complications of COVID-19 including myocarditis have been reported in adults, but less is known about myocardial involvement in paediatric patients.
COVID-19 infection should be considered in children presenting with myocardial injury in an inflammatory context, even without pulmonary symptoms.
May prompt COVID-19 evaluation in children with isolated myocarditis; single case leaves screening implications open.
BACKGROUND: Cardiovascular complications of COVID-19 have been reported in the adult population including myocarditis. However, less is known about the myocardial involvement in paediatric patients. CASE SUMMARY: A 15-year-old boy was admitted to our intensive cardiac care unit with COVID-19 and an isolated acute myocarditis, confirmed on cardiac magnetic resonance imaging. No pulmonary lesion was observed on the chest CT scan. We report here the initial presentation, medical care, and clinical course of this patient. DISCUSSION: In the context of the acute COVID-19 outbreak, screening for COVID-19 infection should be performed in children presenting with myocardial injury in an inflammatory context.
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Fischer et al. (2020) studied this question.