Covid Complications In A Division-i Baseball Player - Page #1

Author: Nicole Thomas, OMS
Co Author #1: Amaad Choudry OMS
Co Author #2: Brandon Wei DO
Senior Editor: Yaowen Hu, MD, MBA
Editor: Bernadette Pendergraph, MD

Patient Presentation:
23 year-old male Division-I baseball player presents with persistent COVID-19 symptoms.

A 23 year-old male Division-I baseball player had symptomatic COVID-19 diagnosed in October 2020 with initial symptoms of fever, headache, neck pain, sore throat, loss of appetite, congestion, and cough. He was symptom-free following a 10 day quarantine. His return to play protocol consisted of a cardiac workup which included troponin, electrocardiogram, and echocardiogram. His electrocardiogram showed a new brugada type pattern which led to consultation with cardiology. Cardiology repeated the electrocardiogram which showed early repolarization changes, which is a normal finding in athletes. Cardiology had the athlete complete a CT angiogram, echocardiogram, and holter evaluation of which all were normal. The athlete was then cleared to return to play at a slower pace. But, he continued exhibiting exertional symptoms including tachycardia, chest tightness, and lightheadedness with recovery and was therefore re-evaluated by cardiology. He had a repeat Holter monitor and an exercise stress test that showed relative hypotension with symptoms of dizziness but no associated electrocardiogram changes.

Physical Exam:
His vital signs were normal. His overall physical exam was normal.

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