Cardiac Involvement in a Pediatric Patient with COVID-19: Looking Beyond
the Nonspecific Global Cardiac Injury
We report a case of a 17-year-old healthy male presenting with
multisystem hyperinflammatory shock temporally associated with COVID-19.
Cardiac involvement was suspected based on evidence of significant
cardiac injury (elevated cardiac biomarkers, electrocardiographic and
echocardiographic abnormalities). Cardiac magnetic resonance imaging was
performed demonstrating global biventricular systolic dysfunction, as
well as a small area of T2 hyperintensity and mid wall late gadolinium
enhancement. This case discusses the varied cardiac involvement in
pediatric patients with COVID-19 infection and highlights that cardiac
injury is not just limited to hyperinflammatory syndrome related global
dysfunction but a more focal myocarditis can also be seen.