TITLE: Pyopneumopericarditis secondary to entero-pericardial fistula: A rare etiology of dyspneaAUTHORS: Shaun M. Condon II 1, Jacob E. Tuttle 1, Jo-Ann Rammal 1, Tyler Andrews DO 2, Connor M. Bunch MD1,2, Saadeddine Haidar MD 1, Joseph B. Miller, MD 1,2

SARS-CoV-2 infection can manifest many rashes. However, thrombotic retiform purpura rarely occurs during COVID-19 illness. Aggressive anti-COVID-19 therapy with a high-dose steroid regimen led to rapid recovery. This immuno-thrombotic phenomenon likely represents a poor type 1 interferon response and complement activation on the endothelial surface in response to acute infection.