Pneumonia before COVID-19 Pandemic Emerging with Accidental Brugada Syndrome and Thrombocytopenia-Serious Association with Good Outcome

Rationale: COVID-19 pneumonia emerged in Wuhan city in China on December 31, 2019. However, pneumonia is a serious infection cause. Brugada syndrome [BrS] is a genetic disorder with abnormal electrical activity within the heart. The syndrome carries a higher risk for ventricular fibrillation and sudden death. Thrombocytopenia may be associated with the severe acute respiratory syndrome. Probably Thrombocytopenia is a well-known marker of adverse outcomes in patients diagnosed with pneumonia, as decreased platelet count is linked to severe intravascular coagulation and severe sepsis. Patient concerns: A 50-year-old, bed-ridden smoker Egyptian married male patient was admitted to the intensive care unit with pneumonia and Brugada syndrome [BrS]. Diagnosis: Pneumonia before COVID-19 pandemic emerging with accidental Brugada syndrome and thrombocytopenia. Interventions: Electrocardiography, chest CT scan, oxygenation, and arterial blood gas. Outcomes: Electrocardiographic and clinical stabilization was the only result. Lessons: The presence of mimic COVID-19 pneumonia about 1 year before emerge of the COVID-19 pandemic is interesting and stupendous. The association of Brugada syndrome, renal impairment, and thrombocytopenia in pneumonia are a constellation of serious risk factors.