{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:26:00Z","timestamp":1779189960111,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"FI1","license":[{"start":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:00:00Z","timestamp":1594166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Universidad Libre"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Fulminant myocarditis is a catastrophic disease with high mortality and complications. A viral aetiology is frequent and the implication of SARS-CoV-2 is not yet known.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 38-year-old woman who recently arrived from Spain presented with palpitations that started suddenly 3 days prior to presentation and were associated with haemodynamic instability, without dyspnoea or chest pain. We found features of myopericarditis on the electrocardiogram and severe systolic dysfunction on the echocardiogram. The chest tomography showed findings which suggested COVID-19 infection, and PCR for SARS-CoV-2 was positive. The cardiac magnetic resonance image showed Lake Louise criteria for myocarditis. The patient was treated with immunomodulatory, steroid, and immunoglobulin therapy, with a favourable clinical response.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The importance of this case lies in highlighting the severe cardiac involvement in a young patient, without previous risk factors, positive for COVID-19, and the favourable response to the medical treatment given.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa212","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T03:54:27Z","timestamp":1594180467000},"page":"1-6","source":"Crossref","is-referenced-by-count":20,"title":["COVID-19 fulminant myocarditis: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8366-9102","authenticated-orcid":false,"given":"Wikler","family":"Bernal-Torres","sequence":"first","affiliation":[{"name":"Clinica DIME neurocardiovascular, Calle 4d Numero 89-36, Cali 760034, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6891-1837","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Herrera-Escand\u00f3n","sequence":"additional","affiliation":[{"name":"Clinica DIME neurocardiovascular, Calle 4d Numero 89-36, Cali 760034, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6052-2722","authenticated-orcid":false,"given":"Manuel","family":"Hurtado-Rivera","sequence":"additional","affiliation":[{"name":"Clinica DIME neurocardiovascular, Calle 4d Numero 89-36, Cali 760034, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Andr\u00e9s","family":"Plata-Mosquera","sequence":"additional","affiliation":[{"name":"Clinica DIME neurocardiovascular, Calle 4d Numero 89-36, Cali 760034, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"2021012109530188900_ytaa212-B1","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1161\/CIR.0000000000000745","article-title":"American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology. Recognition and initial management of fulminant myocarditis. A Scientific Statement from the American Heart Association","volume":"141","author":"Kociol","year":"2020","journal-title":"Circulation"},{"key":"2021012109530188900_ytaa212-B2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/S0140-6736(20)30251-8","article-title":"Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding","volume":"395","author":"Lu","year":"2020","journal-title":"Lancet"},{"key":"2021012109530188900_ytaa212-B3","doi-asserted-by":"crossref","DOI":"10.1016\/j.pcad.2020.03.001","article-title":"Sanchis-Gomar F. Cardiac troponin I in patients with coronavirus disease 2019 (COVID-19): evidence from a meta-analysis","author":"Lippi","year":"2020","journal-title":"Prog Cardiovasc Dis"},{"key":"2021012109530188900_ytaa212-B4","doi-asserted-by":"crossref","first-page":"1177230","DOI":"10.1016\/j.lfs.2020.117723","article-title":"Myocardial injury and COVID-19: possible mechanisms","volume":"253","author":"Babapoor-Farrokhran","year":"2020","journal-title":"Life Sciences"},{"key":"2021012109530188900_ytaa212-B5","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1002\/ejhf.1828","article-title":"Myocardial localization of coronavirus in COVID-19 cardiogenic shock","volume":"22","author":"Tavazzi","year":"2020","journal-title":"Eur J Heart Fail"},{"key":"2021012109530188900_ytaa212-B6","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.ijcard.2020.03.087","article-title":"Suspected myocardial injury in patients with COVID-19: evidence from front-line clinical observation in Wuhan, China","volume":"311","author":"Deng","year":"2020","journal-title":"Int J Cardiol"},{"key":"2021012109530188900_ytaa212-B7","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1172\/JCI137244","article-title":"Clinical and immunologic features in severe and moderate forms of coronavirus disease 2019","volume":"20","author":"Chen","year":"2020","journal-title":"J Clin Invest"},{"key":"2021012109530188900_ytaa212-B8","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1111\/j.1365-2362.2009.02153.x","article-title":"SARS-coronavirus modulation of myocardial ACE2 expression and inflammation in patients with SARS","volume":"39","author":"Oudit","year":"2009","journal-title":"Eur J Clin Invest"},{"key":"2021012109530188900_ytaa212-B9","first-page":"1878","article-title":"P. Levosimendan added to dobutamine in acute decompensated heart failure refractory to dobutamine","volume":"12","author":"Juguet","year":"2020","journal-title":"Arch Cardiovasc Dis Suppl"},{"key":"2021012109530188900_ytaa212-B10","article-title":"Coronavirus fulminant myocarditis saved with glucocorticoid and human immunoglobulin","author":"Hu","year":"2020","journal-title":"Euro Heart J"},{"key":"2021012109530188900_ytaa212-B11","doi-asserted-by":"crossref","DOI":"10.1001\/jamacardio.2020.1096","article-title":"Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19)","author":"Inciardi","year":"2020","journal-title":"JAMA Cardiol"},{"key":"2021012109530188900_ytaa212-B12","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s11427-018-9501-9","article-title":"A life support-based comprehensive treatment regimen dramatically lowers the in-hospital mortality of patients with fulminant myocarditis: a multiple center study","volume":"62","author":"Li","year":"2019","journal-title":"Sci China Life Sci"},{"key":"2021012109530188900_ytaa212-B13","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijantimicag.2020.105949","article-title":"Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial","author":"Gautret","year":"2020","journal-title":"Int J Antimicrob Agents"},{"key":"2021012109530188900_ytaa212-B14","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1056\/NEJMoa2001282","article-title":"A trial of lopinavir\u2013ritonavir in adults hospitalized with severe COVID-19","volume":"382","author":"Cao","year":"2020","journal-title":"N Engl J Med"},{"key":"2021012109530188900_ytaa212-B15","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1001\/jama.2020.1585","article-title":"Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China","volume":"323","author":"Wang","year":"2020","journal-title":"JAMA"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/FI1\/1\/35930225\/ytaa212.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/FI1\/1\/35930225\/ytaa212.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T15:03:10Z","timestamp":1611241390000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/FI1\/1\/5868575"}},"subtitle":[],"editor":[{"given":"Gianluigi","family":"Savarese","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"David","family":"Stolfo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Giulia","family":"Ferrannini","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Christian Fielder","family":"Camm","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,7,8]]},"references-count":15,"journal-issue":{"issue":"FI1","published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa212","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,7,8]]}}}