Not Everything Is Covid: Persistent Fever and Malaise Mimicking Covid-19 Pneumonia

The Impact of COVID-19 on the Cardiovascular Health of Emerging Adults Aged 18-25: Findings From a Scoping Review

“…In another case, a 19-year-old male presenting to the emergency department with constitutional symptoms was repeatedly tested for COVID-19, treated with antibiotics for COVID-19 pneumonia, discharged, and later diagnosed with Coxsackie A myocarditis upon readmission. 134 Similarly, Balfe et al 137 presented the case of an 18-year-old female suffering from rheumatic mitral stenosis whose condition was worsened by IV fluids she was administered under the presumption that she had COVID-19. Reports were also identified in which life-saving cardiovascular care for emerging adults (e.g.…”

“…There were also reports of emerging adults with cardiovascular presentations where the provision of cardiovascular care was negatively impacted due to COVID-19. 60 , 130 , 131 , 132 , 133 , 134 , 135 , 137 Regarding the appropriate screening and management of these cardiovascular abnormalities, the majority of age-specific evidence pertains to COVID-19-associated myocarditis and MIS. Based on the findings of this scoping review, a framework which highlights the negative impacts of the COVID-19 pandemic on the cardiovascular health of emerging adults and corresponding health promotion opportunities to prevent and mitigate these effects was constructed (see Figure 2 ).…”

“…This review suggests that when emerging adults present with COVID-19-like symptoms, the differential diagnosis should include potentially life-threatening cardiovascular manifestations, such as POCI stroke and other forms of viral myocarditis. 130 , 134 , 137 In addition, emerging adults who have cardiovascular symptoms, along with their parents/guardians, need to be educated on the critical importance of seeking medical care despite the risk of contracting COVID-19. 130 , 131 , 132 , 133 , 134 , 135 , 137 The increasing availability of telehealth and digital health interventions 199 may assist younger patients in receiving timely diagnoses and treatment for potentially life-threatening cardiovascular events.…”

“… 130 , 134 , 137 In addition, emerging adults who have cardiovascular symptoms, along with their parents/guardians, need to be educated on the critical importance of seeking medical care despite the risk of contracting COVID-19. 130 , 131 , 132 , 133 , 134 , 135 , 137 The increasing availability of telehealth and digital health interventions 199 may assist younger patients in receiving timely diagnoses and treatment for potentially life-threatening cardiovascular events.…”