COVID-19 Presenting as an Acute Myopericarditis: A Case Report Study

Abstract

Coronavirus disease 2019 (COVID-19) is a global challenge for the health care community. It typically presents with fever, generalized fatigue, dyspnea and rarely with chest pain due to involvement of heart. We report a 26-year-old young man with no significant risk factor for coronary artery disease who presented with chest pain and elevated troponin due to myopericarditis. Cardiac ischemic work up was negative for acute coronary artery disease. However, his PCR came positive for SARS-CoV-2 pneumonia. To decrease morbidity and mortality in young adults, clinicians should be aware of atypical presentation of COVID-19 pneumonia to diagnose in an early stage and initiate prompt treatment management.

Learning Points
• Identify myopericarditis as an atypical presentation of COVID-19
• Early recognition and prompt treatment initiation can prevent cardiac  complications and mortality