A severe case of COVID-19 in an adolescent with PIMS-TS, cardiomyopathy,
and pulmonary embolism.
We report the case of a 14-year-old male patient with no previous
history of cardiovascular disease or thromboembolic episodes, admitted
to our hospital with a severe form of COVID-19, in the 9th day of
disease evolution, with acute respiratory and heart failure symptoms.
Chest computer tomography showed bilateral multilobular ground-glass
opacities, consolidations, and a sub segmental arterial branch
thromboembolism. The echocardiography showed a dilated left ventricle
with severely impaired left ventricular function (LVEF=30%) . Blood
test showed extremely elevated NT pro-BNP (22 558 ng/L), inflammatory
markers and D-dimers. The diagnosis of PIMS-TS, COVID-19 sepsis-related
cardiomyopathy and pulmonary thromboembolism was made, with a favourable
outcome under supportive treatment. Clinicians should be aware of this
severe presentation of COVID-19 in children.