Unusual Presentation of Dengue Fever A child with acute myocarditis
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 1
Abstract
Dengue fever (DF) is an acute febrile illness that follows a self-limiting course. However, some patients suffer from complications, including myocarditis, due to the involvement of other organs. A child presented at the Aga Khan University Hospital in Karachi, Pakistan, in June 2013 with a high-grade fever, malaise and epigastric pain radiating to the chest. Positive DF antigen and immunoglobulin M assays confrmed the diagnosis of DF. Persistent bradycardia with low blood pressure led to further cardiac investigations which showed a decreased ejection fraction and raised serum cardiac enzymes, indicating myocardial damage. With supportive care and use of inotropes, the spontaneous normalisation of cardiac enzyme levels and ejection fraction was observed. Te child was discharged fve days after admission. Tis case highlights the importance of identifying myocarditis in DF patients suffering from cardiac symptoms that are not explained by other potential aetiologies. Awareness, early suspicion and supportive care are essential to ensure favourable outcomes.
Authors and Affiliations
Moaz Aslam| Medical College, Aga Khan University, Karachi, Pakistan, Numra A. Aleem| Medical College, Aga Khan University, Karachi, Pakistan, Mohammad F. Zahid| Medical College, Aga Khan University, Karachi, Pakistan, Arshalooz J. Rahman| Department of Pediatrics & Child Health, Aga Khan University, Karachi, Pakistan
Keywords
Related Articles
- EP ID EP14647
- DOI -
- Views 278
- Downloads 13
N0dular Lymphocyte Predominant Hodgkin’s Lymphoma Presenting as Severe Hypercalcaemia: A Case Report
Nodular lymphocyte predominant Hodgkin’s lymphoma (NLPHL) is a recently described type of Hodgkin’s lymphoma (HL) and accounts for 5-6% of all the cases of HL. Here we report the case of an elderly man who presented...
Paliperidone Palmitate-Induced Delirium in an Adolescent with Schizophrenia Case report
Schizophrenia is a serious long-term mental disorder which usually presents in adolescence or early adulthood. However, poor adherence to oral antipsychotics can lead to relapse and rehospitalisation. We report an adol...
Hepatitis B Vaccine Coverage and the Immune Response in Children under ten years old in Sana’a, Yemen
Objectives: Te study was undertaken, frst, to determine the coverage rate of hepatitis B (HB) vaccine and second to evaluate the immune response to HB vaccine among children under 10 years old by measuring the level of...
Life Loss and Disability from Traffc Accidents It is imperative we all act now
Clinical and Laboratory Manifestations of Yemeni Patients with Systemic Lupus Erythematosus
Objectives: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterised by multi-systemic involvement. Tis is the frst study undertaken to determine the relationships between serological marker pos...