case_images: PMC8637777_01
case_images: Electrocardiogram on the patient's presentation to emergency room. Noted
  sinus tachycardia with, concave ST segment elevation with depressed PR
  segment in leads V3 to V6, DI, DII, aVL, and ST segment depression with PR
  segment elevation in lead aVR.
case_images: 10.1177_11795468211056634-fig1.jpg
case_images: PMC8637777_01_10.1177_11795468211056634-fig1.jpg
case_images: fig1-11795468211056634
case_images: Transthoracic echocardiography (parasternal long-axis view) showed cardiac
  cavities of normal dimension and slightly thickened ventricular walls (with
  an 12 mm ventricular septum). No pericardial effusion was observed.
case_images: 10.1177_11795468211056634-fig2.jpg
case_images: PMC8637777_01_10.1177_11795468211056634-fig2.jpg
case_images: fig2-11795468211056634
case_images: No pericardial effusion was observed (Figure 2).
case_images: Trends in cardiac troponin I levels. The peak level was 14.2 ng/mL. The cut
  off value was 0.045 ng/mL.
case_images: 10.1177_11795468211056634-fig3.jpg
case_images: PMC8637777_01_10.1177_11795468211056634-fig3.jpg
case_images: fig3-11795468211056634
case_images: Serum Troponin I peak level was 14.2 ng/mL (<0.045 ng/mL) with an initial oscillating profile which later decreased (Figure 3).
case_images: (A) Four-chamber view of late gadolinium enhancement image, (B) Four-chamber
  view of T2-weighted image. The image obtained after administration of
  intravenous gadolinium (A) showed multiple nodular foci of late gadolinium
  enhancement in subepicardial topography in the mid-distal segments of the
  anterolateral wall. These segments were hyperintense on T2-weighted image
  (B) which demonstrate the presence of myocardial edema/inflammation.
case_images: 10.1177_11795468211056634-fig4.jpg
case_images: PMC8637777_01_10.1177_11795468211056634-fig4.jpg
case_images: fig4-11795468211056634
case_images: These results and the medical history suggest the diagnosis of perimyocarditis which was considered to be a consequence of COVID-19 vaccination (Figure 4A and B).