Key result
COVID-19 myocarditis presents with chest pain and elevated troponins without fever or respiratory symptoms.
Why the study?
COVID-19 manifests primarily as respiratory disease, and few cases of SARS-CoV-2-induced cardiac injury presenting without respiratory involvement or febrile illness have been reported.
Case Report (n=1)
No
COVID-19 can present atypically as isolated myocarditis without respiratory symptoms or fever.
Answers are grounded in this paper and cite their sources.
May prompt COVID-19 testing in unexplained myocarditis; single case leaves open prevalence and causality.
We present a case of a 39-year-old male who presented with chest pain without fever or respiratory symptoms. Troponins were elevated and electrocardiogram (ECG) was inconclusive for ST-elevation myocardial infarction (STEMI). Angiography revealed normal coronaries and the patient was found to be coronavirus disease 2019 (COVID-19) positive; he was diagnosed with COVID-19 myocarditis. With the global pandemic, more cases are emerging regarding myocardial injury induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. Although COVID-19 manifests primarily as respiratory disease, few cases of cardiac injury without respiratory involvement or febrile illness have been reported. This case illustrates that COVID-19 can present atypically and affect an isolated non-respiratory organ system.
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Rehman et al. (2020) conducted a case report in COVID-19-induced myocarditis (n=1). COVID-19 infection was evaluated. A 39-year-old male presented with chest pain and elevated troponins without fever or respiratory symptoms, and was diagnosed with COVID-19-induced myocarditis.
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