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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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