Myocarditis associated with a new coronavirus infection and examination of its connection with the profession of a medical worker: clinical case

Abstract

According to modern ideas, the pathogenesis of the new coronavirus infection COVID-19 (from the English Corona Virus Disease-2019) is an acute infectious disease caused by a new strain of SARS-CoV-2 coronavirus with an aerosol-drip and a contacthousehold transmission mechanism) is characterized and the systemic immunospitalus process, hyperactivity of the coagulation cascade, endotheliopathy and hypoxia, leading to the development of microtrombs and mactrombs. The main source of infection is a sick person, including the disease in the incubation period. The greatest danger to others is a person in the last two days of the incubation period and the first days of the disease. A new coronavirus infection in medical workers can be considered as an occupational disease if the infection occurred while they were performing their professional duties. In the Samara region in 2020-2021, 146 cases of acute occupational disease caused by the new coronavirus infection COVID-19 were diagnosed to medical workers, of which 72 diagnoses (48.63%) were established posthumously. In 2021, 6 diagnoses of chronic occupational diseases associated with a coronavirus infection were established, which determined persistent disability. The presence of severe complications of a new coronavirus infection, disability, give relevance to the analysis of the features of occupational diseases of medical workers in order to improve their diagnosis, improve prevention, treatment and rehabilitation.One of the most important manifestations of the new coronavirus infection is the defeat of the cardiovascular system. The presented clinical case reflects one of such possible variants of serious lesions – myocarditis, which led to the development of rhythm disturbances. The article presents the principles and results of a medical examination conducted in order to establish a causal relationship of the disease with the professional activity of a medical worker.

Keywords

• covid-19 coronavirus
• infection
• inflammatory cardiomyopathy
• occupational diseases
• medical workers