Delayed diffuse inflammatory myocardial damage in a child with a history of systemic inflammatory syndrome related to COVID-19

A 4-year-old girl presented to the emergency unit with respiratory distress and tachycardia. She had a history of admission due to COVID-19 related systemic inflammatory syndrome. The real -time polymerase chain reaction (RT ‐PCR) for SARS-COV2 had been positive, and 2 weeks before, she was discharged with good condition and preserved left ventricular function. At the current admission, she was afebrile, the blood pressure 90 mmHg/pulse, heart rate 140 b.p.m., respiratory rate 40 breath/min, and the O2 saturation was 92% in room air. The point of care echocardiography revealed severe left and right ventricular dysfunction with bilateral pleural effusion.
Source: European Heart Journal - Category: Cardiology Source Type: research