{"title":"需要VA ECMO支持的暴发性登革热心肌炎","authors":"Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Sandya Pallapotu, Nagarajan Ramadoss, Anil Kumar Dharmapuram, Sudeep Varma","doi":"10.1016/j.ejccm.2018.12.022","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p><p>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 <span>[1]</span>, <span>[2]</span>. Early identification and prompt treatment of these uncommon presentations improves the outcome as these complications are temporary and reversible manifestations.</p><p>Here we report case of severe myocarditis in dengue with complete recovery following ECMO support.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":"6 3","pages":"Pages 155-156"},"PeriodicalIF":0.3000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.022","citationCount":"3","resultStr":"{\"title\":\"Fulminant dengue myocarditis requiring VA ECMO support\",\"authors\":\"Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Sandya Pallapotu, Nagarajan Ramadoss, Anil Kumar Dharmapuram, Sudeep Varma\",\"doi\":\"10.1016/j.ejccm.2018.12.022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>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.</p><p>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 <span>[1]</span>, <span>[2]</span>. Early identification and prompt treatment of these uncommon presentations improves the outcome as these complications are temporary and reversible manifestations.</p><p>Here we report case of severe myocarditis in dengue with complete recovery following ECMO support.</p></div>\",\"PeriodicalId\":31233,\"journal\":{\"name\":\"Egyptian Journal of Critical Care Medicine\",\"volume\":\"6 3\",\"pages\":\"Pages 155-156\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2018-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.022\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Egyptian Journal of Critical Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2090730318300598\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Journal of Critical Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2090730318300598","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
Fulminant dengue myocarditis requiring VA ECMO support
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.
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.
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