A Case Report: Unexpectedly Earlier Recurrence of COVID-19 Infection with Severe Cardiac Involvement
Abstract
ABSTRACT Background COVİD 19 is a relapsing and reccurrent infectious
disease caused by SARS-CoV-2. It can be associated with cardiac
pathologies . we present a case of COVİD 19 reinfection leading to
cardiac involvement . Case Summary A 22 year old men who had a history
of COVID-19 pneumonia one and a half month ago arrived at the emergency
department with progressive dyspnea. He was . under treatment for
chronic idiopathic urticaria with levocetirizine dihydrochloride .He was
hypoxic, tachycardic and hypotensive. Thorax computed tomography images
demonstrated bilateral ground-glass opacity ,right-sided pleural
effusion and cardiomegaly, Bedside transthoracic echocardiography
revealed global Left Ventricul (LV)systolic dysfunction with ejection
fraction of%28, dilation of the LV cavity and anteriorly directed
eccentric jet of severe mitral. regurgitation .The COVID-19 RT-PCR test
was re-positive. whereas the blood cultures remain negative. Coronary
angiogram performed was normal.The patient improved clinically within
one week by furosemid, dopamin favipravir methylprednisolone and
antibiotic treatments. C-reactive protein (CRP) levels returned to
normal.. The follow-up echocardiography showed normal. ejection fraction
and mild mitral. regurgitation. Conclusion This case highlights
characteristics of
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 22 participants or records.
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