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Dengue disease in a pediatric patient with severe idiopathic pulmonary hypertension

Published online by Cambridge University Press:  14 December 2020

Gabriel Díaz Open the ORCID record for Gabriel Díaz [Opens in a new window] ,
Claudia P. Devia  and
Orlando M. De La Hoz
Gabriel Díaz*
Affiliation:
Pediatric Cardiologist, Titular Professor, Department of Pediatrics, Universidad Nacional de Colombia, Fundación Santa Fe de Bogota, Bogota, Colombia
Claudia P. Devia
Affiliation:
Fellow of Neonatology, Universidad Nacional de Colombia, Bogota, Colombia
Orlando M. De La Hoz
Affiliation:
Fellow of Pediatrics, Universidad Nacional de Colombia, Bogota, Colombia
*
Author for correspondence: Gabriel Díaz, MD, Titular Professor, Department of Pediatrics, Universidad Nacional de Colombia, Fundación Santa Fe de Bogotá, Carrera 9 No 116-20 Of. 332; Bogota, Colombia. Tel: 57-3158791259. E-mail: gfdiazg50@gmail.com; gfdiazg@unal.edu.co
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Abstract

Dengue virus can affect the heart, with complications as bradycardia, arrhythmias, and death. We present a case of a 15-year-old patient, diagnosed 4 years before with severe idiopathic pulmonary hypertension, confirmed by catheterism, with continuous follow up. At that time, she was living in Bogotá (2640 m above sea level). Sildenafil and Macitentan were started. She was recommended to live at low altitude and she moved. The patient was transferred back to Bogota, from that place, due to flu-like symptoms and fever. Immunoglobulin M for dengue was confirmed and second-degree atrioventricular block Mobitz I with bradycardia (40 beats/minute) was documented throughout the clinical course. She recovered.

Keywords

Dengue diseaseheart AV blockarrhythmiasidiopathic pulmonary hypertensionhigh altitude pulmonary hypertension
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 4 , April 2021 , pp. 654 - 657
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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