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

Published online by Cambridge University Press:  07 January 2021

Selman Gokalp*
Affiliation:
University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
Erman Çilsal
Affiliation:
University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
Bekir Yukcu
Affiliation:
University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
Canan Yolcu
Affiliation:
University of Health Sciences, Istanbul Haseki Education and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
Gulsen Akkoc
Affiliation:
University of Health Sciences, Istanbul Haseki Education and Research Hospital, Department of Pediatric Infectious Diseases, Istanbul, Turkey
Alper Guzeltas
Affiliation:
University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Pediatric Cardiology, Istanbul, Turkey
*
Author for correspondence: Associate Professor S. Gokalp, University of Health Sciences, Department of Pediatric Cardiology, Istanbul SBU Mehmet Akif Ersoy Gogus Kalp Damar Cerrahisi Hastanesi Turgut Ozal Bulvari No: 11, Kucukcekmece 34303, Istanbul, Turkey. Tel: +90 533 5151474; Fax: +90 212 4719494. E-mail: sgokalp@hotmail.com

Abstract

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.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19, 2020. Retrieved March 11, 2020, https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.Google Scholar
Guan, WJ, Ni, ZY, Liang, WH, et al. Clinical characteristics of Coronavirus disease 2019 in China. N Eng J Med 2020; 382: 17081720.CrossRefGoogle ScholarPubMed
Hendren, NH, Grodin, JL, Drazner, MH. Unique patterns of cardiovascular involvement in coronavirus disease-2019. J Card Fail 2020; 26: 466469.10.1016/j.cardfail.2020.05.006CrossRefGoogle ScholarPubMed
Iguoro, I, Pilotto, C, Bonanni, M, et al. SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 2020; 179: 10291046.Google Scholar
Feldstein, LR, Rose, EB, Horwitz, SM, et al. Multisystem inflammatory syndrome in U.S. children and adolescents. N Engl J Med 2020; 383: 334346.CrossRefGoogle ScholarPubMed
Matsubara, D, Kauffman, HL, Wang, Y, et al. Echocardiographic findings in pediatric multisystem inflammatory syndrome associated with COVID-19 in the United States. J Am Coll Cardiol 2020; 76: 19471961.CrossRefGoogle ScholarPubMed
Dabbagh, MF, Aurora, L, D’Souza, P, et al. Cardiac tamponade secondary to COVID-19. JACC Case Rep 2020; 2: 13261330.CrossRefGoogle ScholarPubMed
Singh, R, Fuentes, S, Ellison, H, et al. A case of hemorrhagic cardiac tamponade in a patient with COVID-19 infection. CASE (Phila) 2020; 4: 316319.Google Scholar
Farina, A, Uccello, G, Spreafico, M, et al. SARS-CoV-2 detection in the pericardial fluid of a patient with cardiac tamponade. Eur J Intern Med 2020; 76: 100101.CrossRefGoogle ScholarPubMed
WHO. The use of non-steroidal anti-inflammatory drugs (NSAIDs) in patients with COVID-19, 2020. https://www.who.int/publications-detail/the-use-of-non-steroidal-anti-inflammatory-drugs-(nsaids)-in-patients-with-covid-19.Google Scholar

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