Introduction:
The highly infectious 2019 novel coronavirus disease (COVID-19) is currently devastating populations around the world, affecting patients of all ages. Commonly, this disease presentation ranges from mild flulike illnesses and pneumonia to severe acute respiratory distress syndrome and death.1-2 Cardiovascular involvement has been described in adults with direct and indirect cardiac injury.3-6 There have been several reports of myocarditis in the adult population.3,6 Most recently there have been reports of clusters of pediatric patients presenting with severe multisystem inflammatory disease related to COVID-19 infection. These patients were noted to have cardiac involvement including ventricular systolic dysfunction and coronary artery aneurysms.7 We herein describe a case of an adolescent male presenting with COVID-19 related hyperinflammatory shock syndrome with a combination of diffuse and focal cardiac involvement.