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Cardiogenic shock with complete heart block secondary to dengue myocarditis requiring temporary pacing

Published online by Cambridge University Press:  02 August 2021

Muhammad Yusoff Mohd Ramdzan*
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute, Kuala Lumpur, Malaysia
Khairul Faizah Mohd Khalid
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute, Kuala Lumpur, Malaysia
Marhisham Che Mood
Affiliation:
Paediatric and Congenital Heart Centre, National Heart Institute, Kuala Lumpur, Malaysia
*
Author for correspondence: Muhammad Yusoff Mohd Ramdzan, Clinical Fellow, Paediatric and Congenital Heart Centre, National Heart Institute, Jalan Tun Razak, 50480 Kuala Lumpur, Malaysia. Tel: +603-26178991. E-mail: dr.myusoff@ijn.commy

Abstract

This case illustrates acute myocarditis with complete heart block in a 13-year-old teenager as a rare complication of acute dengue illness. He required urgent temporary pacing with inotropic support and antifailure medications. Complete heart block in dengue myocarditis is an acute but reversible condition. A similar presentation in a dengue-endemic country or with a history of travelling to tropical countries warrants a suspicion of dengue infection.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Woon, YL, Hor, CP, Hussin, N, Zakaria, A, Goh, PP, Cheah, WK. A two-year review on epidemiology and clinical characteristics of dengue deaths in Malaysia, 2013–2014. PLoS Neglected Trop Dis 2016; 10: 116. PLOS. DOI: 10.1371/journal.pntd.0004575.CrossRefGoogle Scholar
World Health Organization Regional Office for South-East Asia. Expanded dengue syndrome (unusual or atypical manifestations). In Comprehensive guidelines for prevention and control of dengue and dengue haemorrhagic fever. Revised and expanded edition. SEARO Publications, 2011. ISBN: 978-92-9022-387-0.Google Scholar
Virk, HUH, Inayat, F, Rahman, ZU. Complete Heart Block in Association with Dengue Hemorrhagic fever. Korean Circ J 2016; 46: 866869. The Korean Society of Cardiology. DOI: 10.4070/kcj.2016.46.6.866.CrossRefGoogle ScholarPubMed
Bhatt, M, Soneja, M, Farooqui, FA, et al. Myocarditis in admitted patients with dengue fever. Infection 2020; 48: 899903. Springer Link. DOI: 10.1007/s15010-020-01500-w.CrossRefGoogle ScholarPubMed
Miranda, CH, de Carvalho Borges, M, Alessandra Kimie Matsuno, A, et al. Evaluation of cardiac involvement during dengue viral infection. Clinical Infectious Dis 2013; 57: 812819. Oxford University Press. DOI: 10.1093/cid/cit403.CrossRefGoogle ScholarPubMed
Li, Y, Hu, Z, Huang, Y, et al. Characterization of the Myocarditis during the worst outbreak of dengue infection in China. Medicine 2016; 95: e4051. Medicine. DOI: 10.1097/MD.0000000000004051.CrossRefGoogle ScholarPubMed
Navinan, MR, Yudhishdran, J, Herath, S, et al. Complete heart block in dengue complicating management of shock due to both bleeding and leakage: a case report. BMC Res Notes 2015; 8: 17. Springer Nature. DOI: 10.1186/s13104-015-1036-9.CrossRefGoogle ScholarPubMed
Mohd Sazlly Lim, S, Fan, KH, Wan Sulaiman, WA. A case of Dengue Hemorrhagic Fever with myocarditis and complete heart block. Rawal Med J 2014; 3: 104106. eJManager. http://www.rmj.org.pk/index.php?fulltxt=43912&fulltxtj=27&fulltxtp=27-1378475217.pdf.Google Scholar
Arora, M, Patil, RS. Chapter 2: cardiac manifestations in dengue fever. Prog Med 27: 811. The Association of Physicians of India. http://apiindia.org/wp-content/uploads/pdf/progress_in_medicine_2017/mu_02.pdf.Google Scholar
Tim, B, Tom, A, Walter, D, Christophe, V. Fulminant eosinophilic myocarditis treated with steroids and mechanical unloading: a case report. Eur Heart J – Case Rep 2020; 4: 15. DOI: 10.1093/ehjcr/ytaa444.Google Scholar