Abstract
We present the case of a 51-year-old patient with acute pericarditis as the dominant manifestation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient was admitted to the emergency department during a coronavirus disease 2019 (COVID-19) outbreak with a suspected ST-elevation myocardial infarction. A coronary angiogram was normal. Real-time reverse transcriptase PCR for the detection of nucleic acid from SARS-CoV-2 in a nasopharyngeal swab was positive. Laboratory tests revealed an increased white blood cell count, with neutrophilia and lymphocytopenia, elevated level of C-reactive protein, borderline elevated erythrocyte sedimentation rate, and slightly elevated interleukin 6. Echocardiography showed a hyperechogenic pericardium posterolaterally with minimal localized pericardial effusion. A chest computed tomography scan showed a small zone of ground-glass opacity in the right lower lobe (classified as CO-RADS 3). In patients with chest pain, ST elevation on electrocardiogram, a normal coronary angiogram, and suspected COVID-19, we should think of pericarditis as an unusual presentation of SARS-CoV-2 infection.
Keywords: COVID-19; Pericarditis; SARS-CoV-2.
【저자키워드】 COVID-19, SARS-CoV-2, Pericarditis, 【초록키워드】 coronavirus disease, SARS-CoV-2, Coronavirus disease 2019, coronavirus, SARS-COV-2 infection, Infection, C-reactive protein, Laboratory tests, severe acute respiratory syndrome Coronavirus, emergency department, interleukin 6, electrocardiogram, echocardiography, Computed tomography, Chest computed tomography, Nasopharyngeal swab, ground-glass opacity, nucleic acid, interleukin, White blood cell, outbreak, lymphocytopenia, Patient, Myocardial infarction, respiratory, reverse transcriptase PCR, Pericarditis, Acute pericarditis, chest pain, Laboratory test, erythrocyte sedimentation, blood cell, reverse transcriptase, pericardial effusion, erythrocyte sedimentation rate, acute respiratory syndrome, right lower lobe, sedimentation rate, coronary angiogram, acute respiratory syndrome coronavirus, acute respiratory syndrome coronavirus 2, neutrophilia, zone, lower lobe, positive, chest computed tomography scan, dominant, elevated, 【제목키워드】 acute respiratory syndrome,