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Tahir H, Daruwalla V, Hayat S. Myocarditis leading to severe dilated cardiomyopathy in a patient with dengue Fever. Case Rep Cardiol. 2015;2015:319312doi: 10.1155/2015/319312.
Tahir, H., Daruwalla, V., & Hayat, S. (2015). Myocarditis leading to severe dilated cardiomyopathy in a patient with dengue Fever. Case reports in cardiology, 2015319312. https://doi.org/10.1155/2015/319312
Tahir, Hassan, et al. "Myocarditis leading to severe dilated cardiomyopathy in a patient with dengue Fever." Case reports in cardiology vol. 2015 (2015): 319312. doi: https://doi.org/10.1155/2015/319312
Tahir H, Daruwalla V, Hayat S. Myocarditis leading to severe dilated cardiomyopathy in a patient with dengue Fever. Case Rep Cardiol. 2015;2015:319312. doi: 10.1155/2015/319312. Epub 2015 Feb 23. PMID: 25802766; PMCID: PMC4352732.
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Case Rep Cardiol. 2015;2015:319312. doi: 10.1155/2015/319312. Epub 2015 Feb 23.

Myocarditis leading to severe dilated cardiomyopathy in a patient with dengue Fever.

Case reports in cardiology

Hassan Tahir, Vistasp Daruwalla, Saleem Hayat

Affiliations

  1. Department of Internal Medicine, Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905, USA.
  2. Department of Internal Medicine, Jinnah Hospital Lahore, Allama Shabbir Usmani Road, Lahore 54700, Pakistan.

PMID: 25802766 PMCID: PMC4352732 DOI: 10.1155/2015/319312

Abstract

Background. Majority of dengue fever cases follow a benign self-limiting course but recently rare presentations and complications are increasingly seen due to rising burden of disease. Cardiac involvement in dengue fever with fatal outcome is a very rare complication. We report a case of 44-year-old patient who presented with symptoms of severe acute congestive heart secondary to myocarditis induced cardiomyopathy caused by dengue virus infection. Case Presentation. A 44-year-old man presented to ER with the complaints of high fever, fatigue, and shortness of breath. Patient was lethargic and blood pressure was low when he was brought to the ER. CXR showed cardiomegaly with pulmonary congestion and echocardiography revealed dilated left ventricle and ejection fraction of 10%. Patient condition worsened and he got admitted to the ICU because of acute hypoxic respiratory failure. Despite aggressive measures, patient died on day 5. Conclusion. Dilated cardiomyopathy is a rare complication of dengue myocarditis. Early recognition of acute DCM caused by dengue myocarditis is imperative in the management of dengue fever as early detection and management of cardiac failure can improve the survival of patient.

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