Kaur Parminder, Bendaram Snigdha Reddy, Singh Balraj, Elkattawy Sherif, Sah Anuraag, Noori Muhammad, Pullatt Raja, Shamoon Fayez
Internal Medicine , Saint Joseph's University Medical Center Paterson, New Jersey, USA.
Internal Medicine, Trinitas Regional Medical Center, Elizabeth, New Jersey, USA.
J Community Hosp Intern Med Perspect. 2020 Sep 3;10(5):488-490. doi: 10.1080/20009666.2020.1797286.
Brugada syndrome is a genetic disease with a characteristic electrocardiogram (ECG) findings of ST elevation in leads V1-V3 with a right bundle branch block (RBBB) appearance called Brugada ECG pattern and a tendency to develop malignant polymorphic ventricular arrhythmias that may lead to syncope or cardiac arrest. Common triggers for Brugada ECG pattern include fever, tricyclic antidepressants, lithium, cocaine and alcohol. This ECG pattern together with clinical findings mentioned above is termed Brugada Syndrome. We report a case of a 51-year-old male with a past medical history of hypertension presented to emergency department with 2-day complaint of fever, chills, sore throat, nasal congestion, malaise, productive cough, was positive for Influenza B and on ECG found to have type-I (coved) Brugada ECG pattern. Influenza fever associated with Brugada ECG pattern is a rare manifestation; in fact, to the best of our knowledge, only three case reports have been published in the literature to date.
布加综合征是一种遗传性疾病，其特征性心电图（ECG）表现为V1-V3导联ST段抬高，呈右束支传导阻滞（RBBB）形态，即所谓的布加心电图模式，且有发生恶性多形性室性心律失常的倾向，可导致晕厥或心脏骤停。布加心电图模式的常见诱发因素包括发热、三环类抗抑郁药、锂盐、可卡因和酒精。这种心电图模式连同上述临床表现被称为布加综合征。我们报告一例51岁男性，既往有高血压病史，因发热、寒战、咽痛、鼻塞、全身不适、咳痰2天就诊于急诊科，乙型流感检测呈阳性，心电图显示为I型（穹窿型）布加心电图模式。与布加心电图模式相关的流感发热是一种罕见表现；事实上，据我们所知，迄今为止文献中仅发表了3例病例报告。
