Pericardial Effusion In A Pediatric Patient With Remote Exposure To Covid-19: A Case Report

Abstract

Thaer Abdul-Hadi, Florentina Litra and Alaa Ismail

Acute Coronavirus 19 is known to manifest mainly with respiratory symptoms, but cardiac involvement and complications were also frequently reported, especially in the adult patient population. Such cardiac complications include heart failure, acute coronary syndrome, arrhythmias, myocarditis, and pericardial effusion, resulting in tamponade in some cases. We describe a 7-year-old African American male who developed pericardial effusion five months after an asymptomatic acute COVID illness proven by positive COVID-19 IgG titers and a negative SARS-CoV-2 PCR test. This patient did not meet the diagnostic criteria for Multi-system Inflammatory Syndrome in Children. His treatment course was complicated by recurrent pericardial fluid accumulation requiring multiple pericardiocentesis and extended courses of Ibuprofen and Colchicine.

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