Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Pericardial and pleural effusion as an isolated finding of COVID-19

(2022) Pericardial and pleural effusion as an isolated finding of COVID-19. University of Toronto Medical Journal.

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Introduction: From December 2019, the coronavirus disease (COVID-19) spread worldwide and became a global problem. Every day, new information and clinical manifestations of the virus develop around the world. Case Presentation: We present a 34-year-old Iranian man who arrived at the emergency department with pleuritic chest pain lasting 10 days and radiating to his trapezius muscle, back, and arms. His pain was exacerbated by coughing and lying in the supine position but decreased in a sitting and forward position. He also had dyspnea at rest. In his chest CT scan, moderate to severe pericardial effusion, pleural effusion in the left lung, and dilation of the inferior vena cava due to fluid accumulation were evident. The COVID-19 polymerase chain reaction test was positive without any radiographic lung involvement. On echocardiography three weeks post-treatment, the patient's pericardial fluid was completely absorbed, and no invasive treatment was required. After considering other related causes, we concluded that the patient’s pericardial effusion was most likely related to COVID-19 infection. Conclusion: Isolated pericardial or pleural effusion can be the sole manifestation of COVID-19 without pulmonary involvement. © 2022, University of Toronto. All rights reserved.

Item Type: Article
Page Range: pp. 56-59
Journal or Publication Title: University of Toronto Medical Journal
Volume: 99
Number: 2
Depositing User: مهندس مهدی شریفی

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