Fulminant dengue myocarditis requiring VA ECMO support

IF 0.3 Q4 CRITICAL CARE MEDICINE

Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI:10.1016/j.ejccm.2018.12.022

Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Sandya Pallapotu, Nagarajan Ramadoss, Anil Kumar Dharmapuram, Sudeep Varma

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引用次数: 3

Abstract

Dengue is endemic disease in India and tropical countries. It has a wide spectrum of presentation varying from asymptomatic to manifest as undifferentiated fever, dengue fever, dengue shock syndrome or dengue haemorrhagic fever. An increasing number of cases of dengue are being reported with atypical presentations such as dengue encephalitis, secondary bacterial infections, pericardial effusion, myocarditis, cardiac rhythm disturbances like supraventricular tachycardia, conduction block etc.

Dengue is caused by RNA virus of flaviviridae group and has four serotypes- DENV 1–4. Of these type, type 2 (DENV-2) is associated with unusual manifestations of dengue like myocarditis [1], [2]. Early identification and prompt treatment of these uncommon presentations improves the outcome as these complications are temporary and reversible manifestations.

Here we report case of severe myocarditis in dengue with complete recovery following ECMO support.

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需要VA ECMO支持的暴发性登革热心肌炎

登革热是印度和热带国家的地方病。它的表现范围很广，从无症状到表现为未分化热、登革热、登革休克综合征或登革出血热。越来越多的登革热病例报告出现非典型症状，如登革脑炎、继发性细菌感染、心包积液、心肌炎、室上性心动过速、传导阻滞等心律紊乱。登革热由黄病毒科RNA病毒引起，有四种血清型——DENV 1-4。其中，2型(DENV-2)与登革热样心肌炎的异常表现相关[1]，[2]。早期发现和及时治疗这些不常见的症状可以改善结果，因为这些并发症是暂时的和可逆的表现。在此，我们报告一例严重的登革热心肌炎与ECMO支持后完全恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Egyptian Journal of Critical Care Medicine

自引率

0.00%

发文量

审稿时长

42 weeks

期刊介绍： The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.