ABSTRACT Background COVÍD 19 is a relapsing and reccurrent infectious disease caused by SARS-CoV-2. It can be associated with cardiac pathologies . we present a case of COVÍD 19 reinfection leading to cardiac involvement . Case Summary A 22 year old men who had a history of COVID-19 pneumonia one and a half month ago arrived at the emergency department with progressive dyspnea. He was . under treatment for chronic idiopathic urticaria with levocetirizine dihydrochloride .He was hypoxic, tachycardic and hypotensive. Thorax computed tomography images demonstrated bilateral ground-glass opacity ,right-sided pleural effusion and cardiomegaly, Bedside transthoracic echocardiography revealed global Left Ventricul (LV)systolic dysfunction with ejection fraction of%28, dilation of the LV cavity and anteriorly directed eccentric jet of severe mitral. regurgitation .The COVID-19 RT-PCR test was re-positive. whereas the blood cultures remain negative. Coronary angiogram performed was normal.The patient improved clinically within one week by furosemid, dopamin favipravir methylprednisolone and antibiotic treatments. C-reactive protein (CRP) levels returned to normal.. The follow-up echocardiography showed normal. ejection fraction and mild mitral. regurgitation. Conclusion This case highlights characteristics of
A Case Report: Unexpectedly Earlier Recurrence of COVID-19 Infection with Severe Cardiac Involvement