This case is worth analyzing. March 4, 2020 reported a case of qiaokou district, wuhan qiaokou district, new crown pneumonia after discharge, rehabilitation isolation period “sudden death” case. The patient, Li, male, 36 years old, diagnosed with new crown pneumonia, February 12 into the Hanyang Guobo square cabin hospital, discharged on February 26, and then stayed in a designated hotel rehabilitation point of isolation, stayed for a day or two after the dry mouth, abdominal distension and other discomforts, March 2 weakness, poor appetite, the patient was transferred to the nearest hospital by the 120 on the same day, died at 17:08. There is speculation that the death may have been caused by viral myocarditis due to the new coronavirus attacking the heart. In the related news reports, there are a few pieces of information that are easy to be concerned about: 1. Death of a young male during rehabilitation isolation 2. Sudden death 3. Viral myocarditis Previously reported cases of death due to neocoronavirus pneumonia have been predominantly in the elderly or in those with underlying medical conditions, and the present case is a young male who was previously healthy. Is the virus virulent? Sudden death, always gives a horrible feeling. Viral myocarditis is a kind of disease that the domestic medical profession and the general public feel a little bit neglected, because there are few cases of pathological diagnosis in China, in fact, even if the diagnosis is basically clinical speculation, at the same time, once the diagnosis has been abused, sometimes even some ventricular premature beats will be labeled as myocarditis, and the domestic media and so on emphasize that untreated common colds can also lead to viral myocarditis leading to death, etc. This case is still worth doing some dissection. This case, or worth doing some analysis. Is it a sudden death? Sudden death, in layman’s terms, is a good person, suddenly died, usually of cardiac origin, i.e., heart disease caused by the heart condition, a good indication of the absence of serious underlying diseases, excluding chronic or end-stage diseases already known to cause death, sudden is defined as the length of the process of death, generally to the onset of the 24 hours as a limit, but often may be measured in minutes of time to death. For adults, sudden death is still most common in the elderly, with a large proportion of causes being coronary heart disease, and other identifiable causes including heart failure, cardiomyopathy, hypertensive heart disease, and myocarditis. Disease cases reported in the news, often lack of some of the medical situation points, such as the case, the day of death from 10:00 to 120 hospitalization and consultation after the relevant changes in the condition and diagnosis and treatment have not been disclosed in detail, as for the first few days of the changes in the condition of the disease is more ambiguous. The source of information in the news report is only the description of the patient’s wife, based on several video chats and death certificates and other instruments. Therefore, it is difficult to reconstruct the whole process of disease change with high quality and make some important medical judgment accordingly. Was it viral myocarditis? The new crown is a virus, and if the case is indeed a “sudden death”, one of the causes of sudden death could be myocarditis, but based on the above, the basis for judging the case as viral myocarditis is – quite weak. Not all viruses can cause myocarditis, and the proportion of viruses that can cause myocarditis that are infected with myocarditis is very low. Viruses with cardiophilic properties, which infect the body, enter the myocardium and trigger an immune response, leading to focal or diffuse infiltration of the myocardium by lymphocytes and other inflammatory cells, resulting in myocardial damage, are viral myocarditis. Rhinoviruses, which are most often responsible for the common cold, are generally not considered to be cardiomyophilic, meaning that they do not have the ability to invade the myocardium and are naturally unlikely to cause viral myocarditis. Even for the most publicized virus that causes myocarditis, coxsackie group B viruses, only a small percentage of infected patients have been reported to have myocardial damage, and there are about 20 other viruses that have been reported to cause viral myocarditis, not including coronaviruses. Of course, coronaviruses, with the exception of SARS and MERS (Middle East Respiratory Syndrome) in the past, have resulted in fewer infections and less medical attention, and perhaps this new coronavirus will lead to new discoveries, but further rigorous medical research is needed. In summary, the case, can show that the new crown can lead to viral myocarditis basis is weak, the new crown is now so much attention, any new crown associated with the death of the case will lead to concern and association, rash speculation caused by misunderstanding and panic, may be more than on the event itself should have reasonable concern. Taking a step back, the cumulative number of new crown cases is now 100,000, and there is a certain mortality rate in the general population due to a variety of circumstances. In the case in question, a post-mortem pathologic-anatomical study would have been of great medical-scientific value. In addition, the case’s condition changed at the isolation site, where the patient was said to have been unwell for many days. For another, what were the conditions at the point of isolation? Indeed, a proper review of the hardware and software conditions at the point of isolation is necessary, but it should be within reasonable limits, after all, the new crown is an unexpected major incident, there should be accountability, but not censure. Content source: medical profession