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On day 11 - after nasopharyngeal swabs taken on 2 consecutive days were negative - MRI T2-weighted short-tau inversion recovery sequences showed changes supporting the diagnosis of acute myocarditis (figure; appendix). Paediatric patients reporting chest pain and other features suggestive of acute myocarditis - with or without respiratory symptoms - should, we believe, also be tested for SARS-CoV-2 (video). Supplementary Materials Supplementary appendix Graph Supplementary video Chest pain and fever in a teenage with SARS-CoV-2 positive nasopharyngeal swab Chest pain and fever: myocarditis with Covid-19 https://youtu.be/HtTB9mZkIDo Graph Graph: Figure Myocarditis in a paediatric patient with COVID-19An electrocardiogram shows ST-segment changes in inferolateral, aVR, and V1 leads (A). [Extracted from the article]