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
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