Journal article
Unusual Presentation of Dengue Fever: A child with acute myocarditis
Sultan Qaboos University medical journal, Vol.16(1), pp.e101-e104
02/01/2016
DOI: 10.18295/squmj.2016.16.01.019
PMCID: PMC4746028
PMID: 26909198
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 confirmed 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. The child was discharged five days after admission. This 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.
Details
- Title: Subtitle
- Unusual Presentation of Dengue Fever: A child with acute myocarditis
- Creators
- Moaz Aslam - Medical College, Aga Khan University, Karachi, Pakistan Department of Pediatrics & Child Health, Aga Khan University, Karachi, PakistanNumra A. Aleem - Aga Khan UniversityMohammad F. Zahid - Medical College, Aga Khan University, Karachi, Pakistan Department of Pediatrics & Child Health, Aga Khan University, Karachi, PakistanArshalooz J. Rahman - Aga Khan University
- Resource Type
- Journal article
- Publication Details
- Sultan Qaboos University medical journal, Vol.16(1), pp.e101-e104
- DOI
- 10.18295/squmj.2016.16.01.019
- PMID
- 26909198
- PMCID
- PMC4746028
- NLM abbreviation
- Sultan Qaboos Univ Med J
- ISSN
- 2075-051X
- eISSN
- 2075-0528
- Publisher
- Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences
- Language
- English
- Date published
- 02/01/2016
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984948044702771
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