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Balfe C, O'Connor C, Giblin G, et al. Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness. Eur J Case Rep Intern Med. 2020;7(12):001957doi: 10.12890/2020_001957.
Balfe, C., O'Connor, C., Giblin, G., Walsh, K., Casserly, I., Moore, D., & Maher, V. (2020). Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness. European journal of case reports in internal medicine, 7(12), 001957. https://doi.org/10.12890/2020_001957
Balfe, Christopher, et al. "Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness." European journal of case reports in internal medicine vol. 7,12 (2020): 001957. doi: https://doi.org/10.12890/2020_001957
Balfe C, O'Connor C, Giblin G, Walsh K, Casserly I, Moore D, Maher V. Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness. Eur J Case Rep Intern Med. 2020 Nov 04;7(12):001957. doi: 10.12890/2020_001957. eCollection 2020. PMID: 33457355; PMCID: PMC7806305.
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Eur J Case Rep Intern Med. 2020 Nov 04;7(12):001957. doi: 10.12890/2020_001957. eCollection 2020.

Presentation of Severe Rheumatic Mitral Stenosis at the Peak of the COVID-19 Pandemic and the Presumptive Treatment as Severe Coronavirus Illness.

European journal of case reports in internal medicine

Christopher Balfe, Cormac O'Connor, Gerard Giblin, Kevin Walsh, Ivan Casserly, David Moore, Vincent Maher

Affiliations

  1. Department of Cardiology, Tallaght University Hospital, Tallaght, Dublin, Ireland.
  2. Department of Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland.

PMID: 33457355 PMCID: PMC7806305 DOI: 10.12890/2020_001957

Abstract

This case report describes a young female Caucasian patient with newly presenting severe mitral stenosis at the peak of the coronavirus pandemic in the Republic of Ireland. The initial presumptive diagnosis was of severe coronavirus illness. This case report highlights the importance of keeping an open mind to alternative diagnoses and examines some of the challenges in the diagnosis and management of a rare condition in the pandemic environment. This patient gained 10 kg of weight within 6 weeks of percutaneous balloon mitral valvuloplasty, highlighting the contribution of cardiac cachexia to her low body weight and demonstrating the exceptional benefit that this treatment can offer to patients.

LEARNING POINTS: To highlight mitral stenosis as a cause of cardiac cachexia and to examine the benefits gained from percutaneous balloon commissurotomy.To highlight the potential for other serious conditions to masquerade as COVID-19 and the importance of keeping an open mind to diagnoses.To examine the use of bedside echocardiography in the patient presenting with presumed coronavirus illness.

© EFIM 2020.

Keywords: Mitral stenosis; rheumatic heart disease; valvular heart disease

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

References

  1. N Engl J Med. 2017 Aug 24;377(8):713-722 - PubMed

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