Fulminant myocarditis: COVID or not COVID? Reinfection or co-infection?

We describe a unique case of fulminant myocarditis in patient with presumed SARS-CoV-2 reinfection. Patient had initial infection 4 months backand COVID-19 antibody at the time presentation. Endomyocardial biopsy showed lymphocytic myocarditis, that is usually seen viral myocarditis. The molecular diagnostic testing endomyocardial for cardiotropic viruses was positive Parvovirus and negative SARS-CoV-2. Authors highly suspect co-infection Parvovirus, possibly triggered immune cascade resulting hemodynamically unstable ventricular tachycardia supported on VA ECMO Impella CP. There impressive recovery left function within 48 h, leading to decannulation 72 h. This written by survivor herself.