Tayeb B, Piot C, Roubille F
CHU Arnaud de Villeneuve, cardiology department, Montpellier, France.
Ann Cardiol Angeiol (Paris). 2011 Aug;60(4):240-2. doi: 10.1016/j.ancard.2011.05.008. Epub 2011 May 25.
A 63-year-old woman was admitted for acute chest pain and asthenia worsening for one week. Clinical examination was normal. ECG revealed widespread T waves depression. Echocardiography, cardiac MR-scan, biological examinations and coronary angiogram were normal except positive dengue fever serologies. She had suffered from dengue fever recently. Clinical and ECG outcomes were good under treatment. Cardiac complications are scarce in case of dengue fever. In this case report, clinical and especially ECG presentation are typical of acute pericarditis. This pericarditis is due to dengue fever.
一名63岁女性因急性胸痛和乏力加重一周入院。临床检查正常。心电图显示广泛T波压低。超声心动图、心脏磁共振扫描、生物学检查和冠状动脉造影均正常,但登革热血清学检查呈阳性。她近期患过登革热。治疗后临床和心电图结果良好。登革热病例中心脏并发症少见。在本病例报告中,临床尤其是心电图表现为典型的急性心包炎。这种心包炎由登革热引起。