Paediatric and Congenital Heart Centre, National Heart Institute, Kuala Lumpur, Malaysia.
Cardiol Young. 2022 Mar;32(3):494-496. doi: 10.1017/S1047951121003152. Epub 2021 Aug 2.
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.
本病例说明了急性心肌炎伴完全性心脏阻滞在一名 13 岁青少年中作为急性登革热疾病的罕见并发症。他需要紧急临时起搏和正性肌力支持及抗心衰药物治疗。登革热心肌炎中的完全性心脏阻滞是一种急性但可逆转的情况。在登革热流行地区或有前往热带国家旅行史的患者中出现类似表现应怀疑为登革热感染。
