case_images: PMC9167472_01
case_images: chest CT scan in axial window showed signs of COVID-19 pneumonia
case_images: PAMJ-41-229-g001.jpg
case_images: PMC9167472_01_PAMJ-41-229-g001.jpg
case_images: F1
case_images: Case 1: this is the case of a 56-year-old man, followed for mellitus diabetes for 14 years, was admitted to for COVID-19 infection confirmed by Polymerase Chain Reaction (PCR) nasal-swab test, and thoracic Computed Tomography (CT) scan (Figure 1).
case_images: EKG showing a microvoltage and flattened T waves in circumferential
case_images: PAMJ-41-229-g002.jpg
case_images: PMC9167472_01_PAMJ-41-229-g002.jpg
case_images: F2
case_images: The electrocardiography (EKG) revealed a regular sinus rhythm with a micro voltage and flattened T waves in circumferential (Figure 2).
case_images: TTE showing an abundant pericardial effusion in antero-RV (right ventricle) and postero-LV (left ventricle)
case_images: PAMJ-41-229-g003.jpg
case_images: PMC9167472_01_PAMJ-41-229-g003.jpg
case_images: F3
case_images: Thoracic Echography (TTE) revealed an abundant pericardial effusion (Figure 3), without respiratory variations, global hypokinesia (with an ejection fraction at 23%), and a good function of right ventricle.
case_images: PMC9167472_02
case_images: thoracic CT scan showing diffuse patchy ground-glass opacities suggesting COVID-19 pneumonia with pulmonary impairment of 50%
case_images: PAMJ-41-229-g004.jpg
case_images: PMC9167472_02_PAMJ-41-229-g004.jpg
case_images: F4
case_images: According to the pandemic context, a chest CT (computed tomography) scan was performed showing bilateral pleural effusion, with impairment of 50% of pulmonary parenchyma (Figure 4), PCR for (SARS-CoV-2) on nasopharyngeal swab was positive.
case_images: A, B) TTE showed a low pericardial effusion
case_images: PAMJ-41-229-g005.jpg
case_images: PMC9167472_02_PAMJ-41-229-g005.jpg
case_images: F5
case_images: TTE showed a low pericardial effusion with biventricular dysfunction (the ventricular ejection fraction was 15%) (Figure 5). The patient was on antibiotic coverage (azithromycin with ciprofloxacin), colchicine, and corticosteroids.