Introduction:
The highly infectious 2019 novel coronavirus disease (COVID-19) is
currently devastating populations around the world, affecting patients
of all ages. Commonly, this disease presentation ranges from mild
flulike illnesses and pneumonia to severe acute respiratory distress
syndrome and death.1-2 Cardiovascular involvement has
been described in adults with direct and indirect cardiac
injury.3-6 There have been several reports of
myocarditis in the adult population.3,6 Most recently
there have been reports of clusters of pediatric patients presenting
with severe multisystem inflammatory disease related to COVID-19
infection. These patients were noted to have cardiac involvement
including ventricular systolic dysfunction and coronary artery
aneurysms.7 We herein describe a case of an adolescent
male presenting with COVID-19 related hyperinflammatory shock syndrome
with a combination of diffuse and focal cardiac involvement.