Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient

Deep neck space infection and viral myocarditis related to coronavirus disease 2019 (COVID-19) have both been described in the medical literature. However, there are only three reported cases of retropharyngeal infection as a presenting pathology in the setting of COVID-19. A 26-year-old woman pres...

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Autores principales: Mohammad Yousef, Basel Abdelazeem, Atefeh Kalantary, Rebecca Pratiti
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Lenguaje:EN
Publicado: SMC MEDIA SRL 2021
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Acceso en línea:https://doaj.org/article/684a5c32fb9c4737b94a8d682184d58c
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spelling oai:doaj.org-article:684a5c32fb9c4737b94a8d682184d58c2021-11-09T11:21:26ZLate-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient2284-259410.12890/2021_002759https://doaj.org/article/684a5c32fb9c4737b94a8d682184d58c2021-10-01T00:00:00Zhttps://www.ejcrim.com/index.php/EJCRIM/article/view/2759https://doaj.org/toc/2284-2594Deep neck space infection and viral myocarditis related to coronavirus disease 2019 (COVID-19) have both been described in the medical literature. However, there are only three reported cases of retropharyngeal infection as a presenting pathology in the setting of COVID-19. A 26-year-old woman presented to the emergency room with fever and neck swelling and pain 1 month after COVID-19 infection. A computed tomography scan of the neck demonstrated tonsillitis with retropharyngeal infection. She was also found to have heart failure with an ejection fraction (EF) of <20% due to acute myocarditis. Her infection resolved and the EF improved to 40% prior to discharge. Our case is the first to describe retropharyngeal infection as a late complication in an adult with a history of COVID-19 several weeks previously. It also presented a clinical challenge in terms of tailoring goal-directed medical therapy to manage severe left ventricular dysfunction caused by myocarditis.Mohammad YousefBasel AbdelazeemAtefeh KalantaryRebecca PratitiSMC MEDIA SRLarticlecovid-19sars-cov-2deep neck space infectionretropharyngeal abscessviral myocarditisMedicineRENEuropean Journal of Case Reports in Internal Medicine (2021)
institution DOAJ
collection DOAJ
language EN
topic covid-19
sars-cov-2
deep neck space infection
retropharyngeal abscess
viral myocarditis
Medicine
R
spellingShingle covid-19
sars-cov-2
deep neck space infection
retropharyngeal abscess
viral myocarditis
Medicine
R
Mohammad Yousef
Basel Abdelazeem
Atefeh Kalantary
Rebecca Pratiti
Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
description Deep neck space infection and viral myocarditis related to coronavirus disease 2019 (COVID-19) have both been described in the medical literature. However, there are only three reported cases of retropharyngeal infection as a presenting pathology in the setting of COVID-19. A 26-year-old woman presented to the emergency room with fever and neck swelling and pain 1 month after COVID-19 infection. A computed tomography scan of the neck demonstrated tonsillitis with retropharyngeal infection. She was also found to have heart failure with an ejection fraction (EF) of <20% due to acute myocarditis. Her infection resolved and the EF improved to 40% prior to discharge. Our case is the first to describe retropharyngeal infection as a late complication in an adult with a history of COVID-19 several weeks previously. It also presented a clinical challenge in terms of tailoring goal-directed medical therapy to manage severe left ventricular dysfunction caused by myocarditis.
format article
author Mohammad Yousef
Basel Abdelazeem
Atefeh Kalantary
Rebecca Pratiti
author_facet Mohammad Yousef
Basel Abdelazeem
Atefeh Kalantary
Rebecca Pratiti
author_sort Mohammad Yousef
title Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
title_short Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
title_full Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
title_fullStr Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
title_full_unstemmed Late-Term Complications of COVID-19: Retropharyngeal Infection and Myocarditis in a 26-Year-Old Patient
title_sort late-term complications of covid-19: retropharyngeal infection and myocarditis in a 26-year-old patient
publisher SMC MEDIA SRL
publishDate 2021
url https://doaj.org/article/684a5c32fb9c4737b94a8d682184d58c
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AT baselabdelazeem latetermcomplicationsofcovid19retropharyngealinfectionandmyocarditisina26yearoldpatient
AT atefehkalantary latetermcomplicationsofcovid19retropharyngealinfectionandmyocarditisina26yearoldpatient
AT rebeccapratiti latetermcomplicationsofcovid19retropharyngealinfectionandmyocarditisina26yearoldpatient
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