Clínica de las Américas, Santa Cruz, Bolivia.
Virginia Commonwealth University School of Medicine, Richmond, VA, US.
Glob Heart. 2023 Aug 4;18(1):41. doi: 10.5334/gh.1254. eCollection 2023.
Dengue is a viral disease transmitted by the bite of a female arthropod, prevalent primarily in tropical and subtropical regions. Its manifestations include asymptomatic infections, dengue fever, and a severe form called or . Atypical manifestations can also occur, called . We describe the case of a 43-year-old man with an unusual presentation of dengue, demonstrating a workup suggestive of myocardial and pericardial damage. Symptoms and markers indicative of cardiac compromise improved after five days on anti-inflammatory treatment. Dengue myocarditis is considered an uncommon complication of dengue, although its reported incidence is likely an underestimation. In general, most cases of dengue myocarditis are self-limited, with only a minority at risk of progressing to heart failure. In order to improve recognition and prevent progression, healthcare providers should maintain a high degree of suspicion regarding potential cardiac complications in patients with dengue.
登革热是一种由雌性节肢动物叮咬传播的病毒性疾病，主要流行于热带和亚热带地区。其表现包括无症状感染、登革热和一种严重形式，称为登革出血热或登革休克综合征。也可能出现不典型表现，称为登革热。我们描述了一例 43 岁男性的不典型登革热病例，其检查结果提示心肌和心包损伤。在接受五天抗炎治疗后，症状和提示心脏损伤的标志物有所改善。登革热心肌炎被认为是登革热的一种罕见并发症，尽管其报告的发病率可能被低估。一般来说，大多数登革热心肌炎病例是自限性的，只有少数有发展为心力衰竭的风险。为了提高认识并预防进展，医疗保健提供者应高度警惕登革热患者可能出现的心脏并发症。
