Acute myocarditis in dengue hemorrhagic fever: a case report and review of cardiac complications in dengue-affected patients

Lee, Ing Kit; Lee, Wen Huei; Liu, Jien Wei; Yang, Kuender D.

doi:10.1016/j.ijid.2010.06.011

Cited by 93 publications

(87 citation statements)

References 24 publications

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“…Although, ST-segment and T-wave changes in the electrocardiogram (ECG) along with regional wall motion abnormality, mimicking acute MI, as a presentation, is very rare. 7,8 In the Medline search, like in our case, only two similar cases of dengue myocarditis mimicking acute MI have been reported so far. 7,8 The first one reported by Lee et al, 7 was a 25-year-old male, who presented with acute pulmonary edema and cardiogenic shock.…”

Section: Discussionmentioning

confidence: 66%

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Acute myocardial infarction being the presentation of dengue myocarditis

Patra

Bhardwaj

Manohar

et al. 2013

Journal of Cardiovascular Disease Research

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a b s t r a c tDengue fever is one of the most common vector-borne viral infections in tropical countries. Myocarditis is an uncommon complication of severe dengue fever. Sometimes, dengue myocarditis masquerades as acute myocardial infarction. We report here a case of a 22-year-old female, who presented with acute chest pain five days after the onset of a febrile episode. Initially she was diagnosed as acute myocardial infarction depending on the biochemical and echocardiography evidence. However, later investigation confirmed she was suffering from myocarditis due to dengue fever, which mimicked acute myocardial infarction. A Medline search revealed only few other reported cases of dengue myocarditis that mimicked of acute myocardial infarction.

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Section: Discussionmentioning

confidence: 66%

“…He had ECG features suggestive of anterior wall MI, and died. Another case reported by Lee IK et al, 8 was a 65-year-old female who presented with DHF. She had significant ST-segment depression in the chest leads V3eV6, but survived.…”

Section: Discussionmentioning

confidence: 94%

Acute myocardial infarction being the presentation of dengue myocarditis

Patra

Bhardwaj

Manohar

et al. 2013

Journal of Cardiovascular Disease Research

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“…There have been reports of acute myocarditis, as well as myopericarditis, pericarditis, asymptomatic myocardial dysfunction and cardiac rhythm disturbances, such as atrioventricular blocks, sinus node dysfunction, ventricular ectopic beats, atrial fibrillation, ST-segment and T-wave changes, tachycardia and bradycardia [3,[14][15][16][17][18][19]. Electrocardiogram abnormalities have been reported during the entire course of dengue.…”

Section: Casementioning

confidence: 99%

Dengue myocarditis in Singapore: two case reports

2013

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The authors report two cases of complicated dengue viral infection with acute myocarditis involving young male adults, of which one was fatal. The first case presented with typical signs of myocardial disease: chest pain and diaphoresis with myocardial depression in the electrocardiograph. The second case deteriorated rapidly and demised within the first day of admission. Histology of the heart muscles showed multiple small foci of myocyte necrosis surrounded by lymphocytes, in keeping with viral myocarditis. Both cases fulfilled the World Health Organization (WHO) diagnosis of probable dengue: the first case had positive dengue serology, both IgM and IgG at day six of illness, and the second case was polymerase chain reaction (PCR) positive for dengue and identified as serotype 2. Despite the severe outcome, both cases did not completely fulfil the criteria for dengue haemorrhagic fever (DHF). Although severe cardiac impairment is not commonly reported in dengue infection, it can be life threatening.

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“…Abnormalities basically consist of sinus bradycardia, T inversion, depression of ST segment in precordial leads and avF, AV blocks, (Mobitz type I second degree has been mentioned) bundle branch blocks and rarely, atrial fibrillation 33, 34, 37, 38 . All were reported as supposedly transient 39 . Two cases of remaining atrial fibrillation after the resolution of disease have been reported, with reversion only achieved after antiarrhythmic treatment (Amiodarone) 39 .…”

Section: Resultsmentioning

confidence: 99%

“…All were reported as supposedly transient 39 . Two cases of remaining atrial fibrillation after the resolution of disease have been reported, with reversion only achieved after antiarrhythmic treatment (Amiodarone) 39 .…”

Section: Resultsmentioning

confidence: 99%

Cardiovascular involvement and manifestations of systemic Chikungunya virus infection: A systematic review

et al. 2017

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Background: In the last three years, chikungunya virus disease has been spreading, affecting particularly the Americas, producing more than two million cases. In this setting, not only new disease-related epidemiological patterns have been found, but also new clinical findings have been reported by different research groups. These include findings on the cardiovascular system, including clinical, electrocardiographic and echocardiographic alterations. Methods: We performed a systematic review looking for reports about cardiovascular compromise during chikungunya disease. Cardiac compromise is not so common in isolated episodes; but countries where chikungunya virus is an epidemic should be well informed about this condition. We used 6 bibliographical databases as resources: Medline/Pubmed, Embase, ScienceDirect, ClinicalKey, Ovid and SciELO. Dengue reports on cardiovascular affectation were included as well, to compare both arbovirus’ organic affectations. Articles that delved mainly into the rheumatic articular and cutaneous complications were not considered, as they were not in line with the purpose of this study. The type of articles included were reviews, meta-analyses, case-controls, cohort studies, case reports and case series. Results: Originally based on 737 articles, our reviewed selected 40 articles with 54.2% at least mentioning CHIKV cardiovascular compromise within the systemic affectation. Cardiovascular manifestations can be considered common and have been reported in France, India, Sri Lanka, Malaysia, Colombia, Venezuela and USA, including mainly, but no limited to: hypotension, shock and circulatory collapse, Raynaud phenomenon, arrhythmias, murmurs, myocarditis, dilated cardiomyopathy, congestive insufficiency, heart failure and altered function profile (Troponins, CPK). Conclusions: Physicians should be encouraged to keep divulgating reports on the cardiovascular involvement of chikungunya virus disease, to raise awareness and ultimately encourage suitable diagnosis and intervention worldwide.

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Acute myocarditis in dengue hemorrhagic fever: a case report and review of cardiac complications in dengue-affected patients

Cited by 93 publications

References 24 publications

Acute myocardial infarction being the presentation of dengue myocarditis

Acute myocardial infarction being the presentation of dengue myocarditis

Dengue myocarditis in Singapore: two case reports

Cardiovascular involvement and manifestations of systemic Chikungunya virus infection: A systematic review

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