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A cikk állandó MOB linkje:
http://mob.gyemszi.hu/detailsperm.jsp?PERMID=159330
MOB:2023/2
Szerzők:Nguyen, Nhu Ngoc; Dudouet, Pierre; Dhiver, Catherine; Gautret, Philippe
Tárgyszavak:SARS-COV-2; PANDEMIA; KORONAVÍRUS; PERICARDITIS
Folyóirat:Acta Microbiologica et Immunologica Hungarica - 2023. 70. évf. 2. sz.
[https://akjournals.com/view/journals/030/030-overview.xml]


  Pericarditis related to post-acute COVID infection: A case report and review of the literature / Nhu Ngoc Nguyen [et al.]
  Bibliogr.: p. 109-110. - Abstr. eng. - DOI: https://doi.org/10.1556/030.2023.02055
  In: Acta Microbiologica et Immunologica Hungarica. - ISSN 1217-8950. - 2023. 70. évf. 2. sz., p. 100-110. : ill.


Cardiovascular involvement has been described in acute and recovered COVID-19 patients. Here, we present a case of symptomatic pericarditis with persistent symptoms for at least six months after the acute infection and report 66 published cases of pericarditis in discharged COVID patients. Patient mean age +- SD was 49.7 +- 13.3 years, ranging from 15 to 75 years and 57.6% were female. A proportion of 89.4% patients reported at least one comorbidity, with autoimmune and allergic disorders, hypertension and dyslipidaemia, as the most frequent. Only 8.3% of patients experienced severe symptoms of acute COVID-19. The time between acute COVID and pericarditis symptoms varied from 14 to 255 days. Chest pain (90.9%), tachycardia (60.0%) and dyspnoea (38.2%) were the most frequent symptoms in post-acute pericarditis. A proportion of 45.5% and 87% of patients had an abnormal electrocardiogram and abnormal transthoracic ultrasound, respectively. Colchicine combined with non-steroidal anti-inflammatory drug (NSAID) or acetylsalicylic acid (aspirin) were prescribed to 39/54 (72%) patients. Of them, 12 were switched to corticosteroid therapy due to non-response to the first-line treatment. Only 6 patients had persisting symptoms and were considered as non-respondent to therapy. Our report highlights that pericarditis should be suspected in COVID-19 patients with persistent chest pain and dyspnoea when pulmonary function is normal. Treatment with non-steroidal anti-inflammatory and colchicine is usually effective but corticosteroids are sometimes required.  Kulcsszavak: COVID-19, SAR-CoV-2, pericarditis, pericardial effusion, post-acute COVID, long COVID