A Case of Hemorrhagic Cardiac Tamponade in a Patient with COVID-19 Infection

Singh, Rahul; Fuentes, Stephanie; Ellison, Henry; Chávez, M.; Hadidi, Omar; Khoshnevis, Gholamreza; Chang, Su Min

doi:10.1016/j.case.2020.05.020

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…Another similar case involved a 62-year-old man admitted to the emergency department with hypotension and hypoxic respiratory failure. TTE showed pericardial effusion and signs of tamponade 28 . A case report by Haidari et al showed respiratory failure with concomitant large pericardial effusion, too 29 .…”

Section: Review Of Literaturementioning

confidence: 99%

“…Inflammatory markers, D-Dimer 31 , and brain natriuretic peptide 26 have increased in most cases, especially in cases of severe pulmonary involvement. Troponin as a non-specific biomarker can be negative 12 , 20 , 26 , 27 , 28 , 29 , 31 , slightly elevated 8 , 13 , 15 , 24 , or high. In cases with high troponin levels, suspicion of concomitant myocarditis increases 18 .…”

Section: Review Of Literaturementioning

confidence: 99%

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Coronavirus Disease 2019 (COVID-19) and Severe Pericardial Effusion: From Pathogenesis to Management: A Case Report Based Systematic Review

Kermani-Alghoraishi

Pouramini

Kafi

et al. 2022

Current Problems in Cardiology

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The Severe acute respiratory syndrome coronavirus-2 (SARS-COV-2) created a global pandemic that continues to this day. In addition to pulmonary symptoms, the virus can have destructive effects on other organs, especially the heart. For example, large pericardial effusion has been observed as a critical and life-threatening finding in Coronavirus disease of 2019 (COVID-19) patients. In this case report based systematic review, we review the reports of moderate to severe pericardial effusion associated with tamponade physiology. Direct cardiomyocyte and pericardium invasion, inflammation and cytokine storms and oxidative stress due to acute respiratory distress syndrome (ARDS), are the pathogenesis of this phenomenon. The results showed that the manifestations of this finding are variable. Pericardial effusion can be seen as a delayed complication, accompanied by myocarditis or pericarditis, isolated, or with ARDS. In most patients, emergency percutaneous pericardiocentesis was performed, and fluid analysis was often exudative in three pattern of hemorrhagic, serous, and serosanguinous. Medical treatment and follow-up are recommended, especially in cases of pericarditis.

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Section: Review Of Literaturementioning

confidence: 99%

Section: Review Of Literaturementioning

confidence: 99%

Coronavirus Disease 2019 (COVID-19) and Severe Pericardial Effusion: From Pathogenesis to Management: A Case Report Based Systematic Review

Kermani-Alghoraishi

Pouramini

Kafi

et al. 2022

Current Problems in Cardiology

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“…In the literature, only two patients with haemorrhagic pericardial effusion were defined. 7,8 In our case, the appearance of pericardial fluid was obviously haemorrhagic without any distinguishing features from other etiologies. Haemorrhagic characteristics of the pericardial fluid might be related to an autoinflammatory response instead of a direct viral invasion of the cardiovascular system.…”

Section: Discussionmentioning

confidence: 49%

“…Pericardial effusion leading to tamponade appears to be rare in COVID-19, with only a few cases in adults having been reported thus far. 7,8 To our knowledge, this is the youngest patient reported to have a large haemorrhagic pericardial effusion associated with COVID-19 infection.…”

Section: Discussionmentioning

confidence: 81%

A case of a very large haemorrhagic pericardial effusion in an adolescent patient with COVID-19 infection

et al. 2021

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An otherwise healthy 17-year-old adolescent boy presented with upper respiratory tract symptoms and was diagnosed with coronavirus disease 2019 infection. A haemorrhagic pericardial effusion was found in the transthoracic echocardiography. He was treated with pericardiocentesis, ibuprofen, and hydroxychloroquine. A large pericardial effusion may complicate COVID-19 in children and should be considered in acute decompensation.

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“…Other organs are also affected and cases of intramural hematoma of the aorta, bilateral adrenal hematomas, hemorrhagic cardiac tamponade, and submacular hemorrhages have been reported in the literature. In most of these cases, bleeding revealed the SARS-CoV-2 infection [ 9 - 12 ].…”

Section: Discussionmentioning

confidence: 99%

A giant spontaneous subcapsular hematoma of the liver revealing a COVID-19 infection, a coincidence? a case report

Tidjane¹,

Laredj²,

Boudjenan-Serradj³

et al. 2021

Pan Afr Med J

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Hemorrhagic manifestations during COVID-19 infections are increasingly described in the literature. We report the first case of spontaneous subcapsular hematoma of the liver revealing a COVID-19 infection in a 44-year-old woman with no underlying health condition history, a computerized tomography evaluation showed an aspect of lung ground-glass opacities, with moderate impairment estimated at about 20%. Reverse transcription-polymerase chain reaction confirmed the diagnosis of COVID-19 infection. During the COVID-19 pandemic, non-traumatic bleeding such as spontaneous hematomas in patients with no coagulation disorder could be a manifestation of COVID-19 infection.

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A Case of Hemorrhagic Cardiac Tamponade in a Patient with COVID-19 Infection

Cited by 10 publications

References 7 publications

Coronavirus Disease 2019 (COVID-19) and Severe Pericardial Effusion: From Pathogenesis to Management: A Case Report Based Systematic Review

Coronavirus Disease 2019 (COVID-19) and Severe Pericardial Effusion: From Pathogenesis to Management: A Case Report Based Systematic Review

A case of a very large haemorrhagic pericardial effusion in an adolescent patient with COVID-19 infection

A giant spontaneous subcapsular hematoma of the liver revealing a COVID-19 infection, a coincidence? a case report

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