Acute pericarditis is uncommon presentation of COVID-19. Here we described a case of 50-year-old male who presented with chest pain without fever nor cough and diagnosed with acute pericarditis complicated by pericardial effusion due to COVID-19 after exclusion of other cause and receive supportive treatment and improve over two weeks.

Acute pericarditis and pericardial effusion are rare extrapulmonary presentations of COVID-19. They can occur without concomitant pulmonary disease or myocardial injury. A high index of suspicion is necessary to assure early diagnosis and treatment.