Detection of SARS CoV-2 RNA in pericardial effusion in a patient with cardiac tamponade - a rare case report
Background: Coronavirus disease 2019 (COVID-19) infection can involve the cardiovascular system with many presentations, including pericardial effusion. Nevertheless, there is no evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA detected in pericardial effusion during the...
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| Veröffentlicht in: | European Journal of Medical Case Reports 2020, Vol.4 (12), p.432-435 |
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| container_end_page | 435 |
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| container_title | European Journal of Medical Case Reports |
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| creator | Falchetti, Elena Francioni, Matteo Matassini, Maria Vittoria Menzo, Stefano Morbidoni, Laura Maracchini, Gianfranco Mariani, Antonio Perna, Gian Piero |
| description | Background: Coronavirus disease 2019 (COVID-19) infection can involve the cardiovascular system with many presentations, including pericardial effusion. Nevertheless, there is no evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA detected in pericardial effusion during the acute phase of COVID-19 infection. Case Presentation: We report an acute, large but located pericardial effusion during acute COVID-19 infection, which required emergent pericardiocentesis. SARS-CoV-2 RNA was found in the pericardial fluid. The patient also presented with concomitant pleural and peritoneal effusion. The patient was treated with colchicine and was discharged 16 days later. Conclusion: SARS-CoV-2 RNA can be detected in pericardial effusion during the acute phase of COVID-19 infection. Concomitant presence of pleural and peritoneal effusion could confirm the hypothesis of exaggerated systemic inflammatory response triggered by the virus. |
| doi_str_mv | 10.24911/ejmcr/173-1591649369 |
| format | Article |
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Nevertheless, there is no evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA detected in pericardial effusion during the acute phase of COVID-19 infection. Case Presentation: We report an acute, large but located pericardial effusion during acute COVID-19 infection, which required emergent pericardiocentesis. SARS-CoV-2 RNA was found in the pericardial fluid. The patient also presented with concomitant pleural and peritoneal effusion. The patient was treated with colchicine and was discharged 16 days later. Conclusion: SARS-CoV-2 RNA can be detected in pericardial effusion during the acute phase of COVID-19 infection. Concomitant presence of pleural and peritoneal effusion could confirm the hypothesis of exaggerated systemic inflammatory response triggered by the virus.</description><identifier>ISSN: 2520-4998</identifier><identifier>EISSN: 2520-4998</identifier><identifier>DOI: 10.24911/ejmcr/173-1591649369</identifier><language>eng</language><publisher>London: Discover Publishing Group</publisher><subject>Case reports ; Coronaviruses ; COVID-19 ; Heart ; Infections ; Medical diagnosis ; Severe acute respiratory syndrome coronavirus 2</subject><ispartof>European Journal of Medical Case Reports, 2020, Vol.4 (12), p.432-435</ispartof><rights>Copyright Discover Publishing Group 2020</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1260-ef339738c23865f39f5ecf300cc0ea0b90ff1bbb523b29f26ee8b37e60025b393</citedby><cites>FETCH-LOGICAL-c1260-ef339738c23865f39f5ecf300cc0ea0b90ff1bbb523b29f26ee8b37e60025b393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Falchetti, Elena</creatorcontrib><creatorcontrib>Francioni, Matteo</creatorcontrib><creatorcontrib>Matassini, Maria Vittoria</creatorcontrib><creatorcontrib>Menzo, Stefano</creatorcontrib><creatorcontrib>Morbidoni, Laura</creatorcontrib><creatorcontrib>Maracchini, Gianfranco</creatorcontrib><creatorcontrib>Mariani, Antonio</creatorcontrib><creatorcontrib>Perna, Gian Piero</creatorcontrib><title>Detection of SARS CoV-2 RNA in pericardial effusion in a patient with cardiac tamponade - a rare case report</title><title>European Journal of Medical Case Reports</title><description>Background: Coronavirus disease 2019 (COVID-19) infection can involve the cardiovascular system with many presentations, including pericardial effusion. Nevertheless, there is no evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA detected in pericardial effusion during the acute phase of COVID-19 infection. Case Presentation: We report an acute, large but located pericardial effusion during acute COVID-19 infection, which required emergent pericardiocentesis. SARS-CoV-2 RNA was found in the pericardial fluid. The patient also presented with concomitant pleural and peritoneal effusion. The patient was treated with colchicine and was discharged 16 days later. Conclusion: SARS-CoV-2 RNA can be detected in pericardial effusion during the acute phase of COVID-19 infection. Concomitant presence of pleural and peritoneal effusion could confirm the hypothesis of exaggerated systemic inflammatory response triggered by the virus.</description><subject>Case reports</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Heart</subject><subject>Infections</subject><subject>Medical diagnosis</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><issn>2520-4998</issn><issn>2520-4998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpNkNtKAzEQQIMoWGo_QQj4vDaX3ezmsdQrFIVWfQ1JOsGUdrMmKeLfG1tBn2aYOczlIHRJyTWrJaVT2OxsnNKWV7SRVNSSC3mCRqxhpKql7E7_5edoktKGEMKkqDkhI7S9gQw2-9Dj4PBqtlzheXirGF4-zbDv8QDRWx3XXm8xOLdPP2Spazzo7KHP-NPnd3xELM56N4RerwFXBYk6QmklwBGGEPMFOnN6m2DyG8fo9e72Zf5QLZ7vH-ezRWUpE6QCx7lseWcZ70TjuHQNWFfOtZaAJkYS56gxpmHcMOmYAOgMb0GUvxrDJR-jq-PcIYaPPaSsNmEf-7JSsbqVtWQtI4VqjpSNIaUITg3R73T8UpSog1t1cKuKW_Xnln8DxD9sbQ</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Falchetti, Elena</creator><creator>Francioni, Matteo</creator><creator>Matassini, Maria Vittoria</creator><creator>Menzo, Stefano</creator><creator>Morbidoni, Laura</creator><creator>Maracchini, Gianfranco</creator><creator>Mariani, Antonio</creator><creator>Perna, Gian Piero</creator><general>Discover Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>2020</creationdate><title>Detection of SARS CoV-2 RNA in pericardial effusion in a patient with cardiac tamponade - a rare case report</title><author>Falchetti, Elena ; Francioni, Matteo ; Matassini, Maria Vittoria ; Menzo, Stefano ; Morbidoni, Laura ; Maracchini, Gianfranco ; Mariani, Antonio ; Perna, Gian Piero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1260-ef339738c23865f39f5ecf300cc0ea0b90ff1bbb523b29f26ee8b37e60025b393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Case reports</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Heart</topic><topic>Infections</topic><topic>Medical diagnosis</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><toplevel>online_resources</toplevel><creatorcontrib>Falchetti, Elena</creatorcontrib><creatorcontrib>Francioni, Matteo</creatorcontrib><creatorcontrib>Matassini, Maria Vittoria</creatorcontrib><creatorcontrib>Menzo, Stefano</creatorcontrib><creatorcontrib>Morbidoni, Laura</creatorcontrib><creatorcontrib>Maracchini, Gianfranco</creatorcontrib><creatorcontrib>Mariani, Antonio</creatorcontrib><creatorcontrib>Perna, Gian Piero</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>European Journal of Medical Case Reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Falchetti, Elena</au><au>Francioni, Matteo</au><au>Matassini, Maria Vittoria</au><au>Menzo, Stefano</au><au>Morbidoni, Laura</au><au>Maracchini, Gianfranco</au><au>Mariani, Antonio</au><au>Perna, Gian Piero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detection of SARS CoV-2 RNA in pericardial effusion in a patient with cardiac tamponade - a rare case report</atitle><jtitle>European Journal of Medical Case Reports</jtitle><date>2020</date><risdate>2020</risdate><volume>4</volume><issue>12</issue><spage>432</spage><epage>435</epage><pages>432-435</pages><issn>2520-4998</issn><eissn>2520-4998</eissn><abstract>Background: Coronavirus disease 2019 (COVID-19) infection can involve the cardiovascular system with many presentations, including pericardial effusion. Nevertheless, there is no evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA detected in pericardial effusion during the acute phase of COVID-19 infection. Case Presentation: We report an acute, large but located pericardial effusion during acute COVID-19 infection, which required emergent pericardiocentesis. SARS-CoV-2 RNA was found in the pericardial fluid. The patient also presented with concomitant pleural and peritoneal effusion. The patient was treated with colchicine and was discharged 16 days later. Conclusion: SARS-CoV-2 RNA can be detected in pericardial effusion during the acute phase of COVID-19 infection. Concomitant presence of pleural and peritoneal effusion could confirm the hypothesis of exaggerated systemic inflammatory response triggered by the virus.</abstract><cop>London</cop><pub>Discover Publishing Group</pub><doi>10.24911/ejmcr/173-1591649369</doi><tpages>4</tpages></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Case reports Coronaviruses COVID-19 Heart Infections Medical diagnosis Severe acute respiratory syndrome coronavirus 2 |
| title | Detection of SARS CoV-2 RNA in pericardial effusion in a patient with cardiac tamponade - a rare case report |
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