Kashyap Ashutosh, Bhatta Laxmi Raj, Bhatta Bhuwan, Nepali Prakash, Gyawali Pratigya, Rajak Ashik, Dhakal Sarita
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Department of Internal Medicine, Lalratna Hospital, Kailali, Nepal.
SAGE Open Med Case Rep. 2024 Jan 9;12:2050313X231225342. doi: 10.1177/2050313X231225342. eCollection 2024.
Dengue fever is an arboviral infection whose presentation ranges from a mild febrile illness to a multisystem complicated syndrome. We report a case of 58-year-old female presenting with fever, myalgia, arthralgia, and vomiting who was found to be infected with dengue and had electrocardiography changes revealing ST-segment elevation myocardial infarction, a rare manifestation in dengue. Dengue fever can affect the cardiovascular system leading to conduction abnormalities, hypotension, arrhythmias, myocarditis, cardiomyopathy, and occasionally myocardial infarction, which has been reported in only a few case reports prior to this. The differentiation between myocarditis and myocardial infarction is essential for which echocardiography and coronary angiography can be helpful. It is essential to keep an eye on the cardiovascular complications in a dengue patient as the presentation can be quite subtle with devastating consequences.
登革热是一种虫媒病毒感染，其临床表现范围从轻度发热性疾病到多系统复杂综合征。我们报告一例58岁女性，表现为发热、肌痛、关节痛和呕吐，被发现感染登革热，且心电图改变显示ST段抬高型心肌梗死，这是登革热中一种罕见的表现。登革热可影响心血管系统，导致传导异常、低血压、心律失常、心肌炎、心肌病，偶尔还会导致心肌梗死，在此之前仅有少数病例报告。心肌炎和心肌梗死的鉴别至关重要，超声心动图和冠状动脉造影对此可能有帮助。密切关注登革热患者的心血管并发症至关重要，因为其表现可能非常隐匿，但后果严重。
