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Complete Heart Block and Itchy Rash in a Patient With Covid-19 Publisher



Firouzabadi MD2 ; Goudarzi S3 ; Firouzabadi FD1, 2 ; Moosaie F1
Authors
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Authors Affiliations
  1. 1. Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. ENT and Head and Neck Research Center and Department, Five Senses Health Research Institute, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States

Source: Caspian Journal of Internal Medicine Published:2020


Abstract

Background: The outbreak of coronavirus disease 2019 (COVID-19) has become a global crisis, as the World Health Organization (WHO) declared COVID-19 as a global pandemic. Complete heart block, resulting from an abnormal heart rhythm, is a rare presentation of this infection, which can be life-threatening due to possible progression into ventricular tachycardia. Case Presentation: We report a critical case of COVID-19 in a young woman without any medical history. She was admitted to the hospital with a rare, but serious presentation of temporary complete heart block with a skin rash after three weeks of treatment with an antiviral agent and hydroxychloroquine. The result of cardiac monitoring, using a Holter monitor, was normal, and her sinus rhythm returned to normal without any interventions. Conclusion: This case emphasized the importance of regular follow-ups for patients with COVID-19 and highlighted the need for attention to unusual presentations, such as brief episodes of unconsciousness and chest pain. © 2020 Babol University of Medical Sciences. All rights reserved.
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