1Réanimation Polyvalente, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France.
2Chirurgie Cardio-thoracique, Centre Hospitalier Universitaire Félix Guyon, Saint Denis, France.
Am J Trop Med Hyg. 2020 Nov 23;104(2):552-556. doi: 10.4269/ajtmh.20-0372.
Dengue disease is found worldwide and has been spreading exponentially in the past decades. Severe forms affect about 2% of patients, sometimes leading to organ failure. Recent studies have shown that fulminant dengue myocarditis is more common than previously thought, and fatal cases have been reported. The treatment of fulminant dengue myocarditis remains supportive and is very challenging in cases of cardiogenic shock. Here, we describe four cases presenting with fulminant dengue myocarditis treated with extracorporeal membrane oxygenation, among two survived.
登革热疾病在全球范围内都有发现，并在过去几十年中呈指数级传播。严重形式影响约 2%的患者，有时会导致器官衰竭。最近的研究表明，暴发性登革热心肌炎比以前认为的更为常见，并有死亡病例报告。暴发性登革热心肌炎的治疗仍然是支持性的，在心源性休克的情况下非常具有挑战性。在这里，我们描述了 4 例暴发性登革热心肌炎患者接受体外膜氧合治疗的情况，其中 2 例存活。
