Key result
A 7-year-old female with COVID-19 developed acute pericarditis and pericardial tamponade that resolved following emergent pericardiocentesis and surgical pericardial decortication.
Case Report (n=1)
Highlights a rare presentation of COVID-19 in a pediatric patient involving acute pericarditis and pericardial tamponade requiring surgical intervention.
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Alerts clinicians to tamponade risk in pediatric COVID-19; leaves open incidence and management needs.
We describe a seven-year-old female with acute pericarditis presenting with pericardial tamponade, who screened positive for coronavirus disease 2019 (COVID-19 [SARS-CoV-2]) in the setting of cough, chest pain, and orthopnea. She required emergent pericardiocentesis. Due to continued chest pain and orthopnea, rising inflammatory markers, and worsening pericardial inflammation, she underwent surgical pericardial decortication and pericardiectomy. Her symptoms and pericardial effusion resolved, and she was discharged to home 3 days later on ibuprofen and colchicine with instruction to quarantine at home for 14 days from the date of her positive testing for COVID-19.
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Raymond et al. (2020) conducted a case report in Acute pericarditis with pericardial tamponade and COVID-19 (n=1). COVID-19 (SARS-CoV-2) infection was evaluated on Resolution of symptoms and pericardial effusion. A 7-year-old female with COVID-19 developed acute pericarditis and pericardial tamponade that resolved following emergent pericardiocentesis and surgical pericardial decortication.
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