Delayed Acute Perimyocarditis and Bilateral Facial Nerve Palsy in a Patient with COVID-19

Kazuki Matsumura; Hiroaki Kawano; Masaya Kurobe; Ryohei Akashi; Tsuyoshi Yoshimuta; Satoshi Ikeda; Nozomi Ueki; Masahiro Nakashima; Koji Maemura

doi:10.2169/internalmedicine.9752-22

CASE REPORTS

Delayed Acute Perimyocarditis and Bilateral Facial Nerve Palsy in a Patient with COVID-19

Kazuki Matsumura, Hiroaki Kawano, Masaya Kurobe, Ryohei Akashi, Tsuyoshi Yoshimuta, Satoshi Ikeda, Nozomi Ueki, Masahiro Nakashima, Koji Maemura

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Keywords: pathology, viral infection

JOURNAL OPEN ACCESS

2022 Volume 61 Issue 15 Pages 2327-2332

DOI https://doi.org/10.2169/internalmedicine.9752-22

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Abstract

A 41-year-old Japanese man was admitted to our hospital with acute perimyocarditis 4 weeks after coronavirus disease 2019 (COVID-19) infection. Ten days after admission, the patient showed bilateral facial nerve palsy in the course of improvement of perimyocarditis under treatment with aspirin and colchicine. After prednisolone therapy, perimyocarditis completely improved, and the facial nerve palsy gradually improved. Acute perimyocarditis and facial nerve palsy can occur even 4 weeks after contracting COVID-19.

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