A Case of Hemolytic Anemia With Acute Myocarditis and Cardiogenic Shock: A Rare Presentation of COVID-19

Abstract

Coronavirus disease 2019 (COVID-19) cases are on the rise globally, and mortality- and survival-related data are emerging every day. In addition, upcoming reports are suggestive of increased risk of cardiac ailments in high-risk patients. In the context of cardiac involvement, acute myocarditis has become one of the unexplored areas in COVID-19 patients, which could influence the long-term outcomes. In this report, we present a rare case that warrants further study on the subject due to the paucity of data in the literature. To date, no case of severe hemolytic anemias with stress cardiomyopathy/acute myocarditis in a patient of COVID-19 has been formally reported in the literature. The bedside echocardiogram had shown a possibility of acute myocarditis. The patient’s marked left ventricular (LV) functional recovery without coronary intervention further corroborates the same. Clinicians should be aware of the diversity of cardiovascular/hematological complications, as well as focused cardiac ultrasound study and the importance of echocardiography as a good screening modality for cardiovascular and hematological complications of COVID-19 infection.

Complication and Sequelae of COVID-19: What Should We Pay Attention to in the Post-Epidemic Era

“…The most serious cardiovascular complication of COVID-19 patients is myocarditis, which is most commonly defined as an elevation of hypersensitivity cardiac troponin I (cTnI) above the 99 th percentile of the upper reference limit (34). The onset of acute myocarditis results in ischemia and hypoxia and increases the risk of death if it exceeds the bearing capacity of the body (35,36). In addition, both tachyand brady-arrhythmias are known to occur in COVID-19 patients (37).…”

Symptomatic Reinfection in Previously Recovered Coronavirus Disease 2019 (COVID-19) Geriatric Patient

“…and is associated with immunodeficiency as well as hyper inflammation, the latter manifesting as a cytokine storm [7]. COVID-19 was earlier thought to be a respiratory disease, but it has affected multiple organs [8][9][10][11]. A study done by Desai et al reported that COVID-19 has caused not only physical distress but also had a negative impact on social, economic, and psychological well-being [12].…”

A Rare Case of Herpes Zoster in an Adult Patient Recovered From Symptomatic Reinfection of COVID-19

“…As of June 8, 2021, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has affected 29,762,793 people and caused 383,490 deaths, with a case fatality rate of 1.28% in India, which was 1.60% as of September 22, 2020 [1]. The present coronavirus disease 2019 (COVID- 19) is a worldwide multisystemic disorder with devastating medical and social implications [2][3][4]. While COVID-19 related cutaneous symptoms are becoming more common, their precise incidence is yet to be determined, their pathophysiological processes are still unclear, and the involvement of SARS-CoV-2 in their pathogenesis, whether direct or indirect, is still disputed.…”