COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient
Since the first cases were reported in Wuhan, China, COVID-19 has spread swiftly worldwide and is caused by SARS-CoV-2. The development of myocardial injury is associated with significantly worse clinical course and increased mortality. However, currently, it is unclear whether cardiac injury occurr...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oman Medical Specialty Board
2023-11-01
|
| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3585 |
| _version_ | 1797346887274070016 |
|---|---|
| author | Ahmed Atris Issa Al Salmi Suad Hannawi |
| author_facet | Ahmed Atris Issa Al Salmi Suad Hannawi |
| author_sort | Ahmed Atris |
| collection | DOAJ |
| description | Since the first cases were reported in Wuhan, China, COVID-19 has spread swiftly worldwide and is caused by SARS-CoV-2. The development of myocardial injury is associated with significantly worse clinical course and increased mortality. However, currently, it is unclear whether cardiac injury occurred in COVID-19 patients. Histological results obtained directly from the viral infection of the myocardium (i.e., SARS-CoV-2 viral myocarditis) or indirectly from the complications of COVID-19, showed that only a portion of patients infected with the virus developed viral myocarditis. Therefore, it is possible that with more autopsy evidence of SARS-CoV-2 and more correlation with the severity of the viral infection, viral myocarditis will emerge. Although COVID-19 manifests primarily as respiratory disease, few cases of cardiac injury without respiratory involvement or febrile illness have been reported. The pathogenesis of cancer and viral infections is due to the inability of the immune system to distinguish between self and non-self. Several oncogenic (hepatitis B virus, hepatitis C virus, human papilloma virus, Epstein-Barr virus, and HIV) and oncolytic viruses (coxsackievirus, reovirus, vaccinia virus, and adenovirus) are known to cause and regress various cancer types. We report a case of atypical manifestation of COVID-19-induced acute myocarditis and thyroid gland follicular neoplasm in a hemodialysis patient with no respiratory symptoms. This case illustrates that COVID-19 can present atypically and affect non-respiratory organ systems. |
| first_indexed | 2024-03-08T11:38:44Z |
| format | Article |
| id | doaj.art-b885fb49652d4074ac535da29296c422 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-03-08T11:38:44Z |
| publishDate | 2023-11-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-b885fb49652d4074ac535da29296c4222024-01-25T10:03:40ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042023-11-01386e575e57510.5001/omj.2023.75COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis PatientAhmed Atris0Issa Al Salmi1Suad Hannawi2Department of Renal Medicine, Royal Hospital, Muscat, Oman Internal Medicine Residency Training Program, Oman Medical Specialty Board, Muscat, OmanDepartment of Medicine, Ministry of Health and Prevention, Dubai, UAESince the first cases were reported in Wuhan, China, COVID-19 has spread swiftly worldwide and is caused by SARS-CoV-2. The development of myocardial injury is associated with significantly worse clinical course and increased mortality. However, currently, it is unclear whether cardiac injury occurred in COVID-19 patients. Histological results obtained directly from the viral infection of the myocardium (i.e., SARS-CoV-2 viral myocarditis) or indirectly from the complications of COVID-19, showed that only a portion of patients infected with the virus developed viral myocarditis. Therefore, it is possible that with more autopsy evidence of SARS-CoV-2 and more correlation with the severity of the viral infection, viral myocarditis will emerge. Although COVID-19 manifests primarily as respiratory disease, few cases of cardiac injury without respiratory involvement or febrile illness have been reported. The pathogenesis of cancer and viral infections is due to the inability of the immune system to distinguish between self and non-self. Several oncogenic (hepatitis B virus, hepatitis C virus, human papilloma virus, Epstein-Barr virus, and HIV) and oncolytic viruses (coxsackievirus, reovirus, vaccinia virus, and adenovirus) are known to cause and regress various cancer types. We report a case of atypical manifestation of COVID-19-induced acute myocarditis and thyroid gland follicular neoplasm in a hemodialysis patient with no respiratory symptoms. This case illustrates that COVID-19 can present atypically and affect non-respiratory organ systems.https://omjournal.org/articleDetails.aspx?coType=1&aId=3585covid-19sars-cov-2myocarditisthyroid neoplasmhemodialysishypertrophyleft ventricularcardiomyopathydilatedmyocardial reperfusion injury |
| spellingShingle | Ahmed Atris Issa Al Salmi Suad Hannawi COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient Oman Medical Journal covid-19 sars-cov-2 myocarditis thyroid neoplasm hemodialysis hypertrophy left ventricular cardiomyopathy dilated myocardial reperfusion injury |
| title | COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient |
| title_full | COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient |
| title_fullStr | COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient |
| title_full_unstemmed | COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient |
| title_short | COVID-19 Associated Acute Viral Myocarditis and Thyroid Gland Follicular Neoplasm in a Hemodialysis Patient |
| title_sort | covid 19 associated acute viral myocarditis and thyroid gland follicular neoplasm in a hemodialysis patient |
| topic | covid-19 sars-cov-2 myocarditis thyroid neoplasm hemodialysis hypertrophy left ventricular cardiomyopathy dilated myocardial reperfusion injury |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3585 |
| work_keys_str_mv | AT ahmedatris covid19associatedacuteviralmyocarditisandthyroidglandfollicularneoplasminahemodialysispatient AT issaalsalmi covid19associatedacuteviralmyocarditisandthyroidglandfollicularneoplasminahemodialysispatient AT suadhannawi covid19associatedacuteviralmyocarditisandthyroidglandfollicularneoplasminahemodialysispatient |