Acute Pericarditis due to Dengue Fever: An Unusual Cardiac Manifestation

DOI: https://doi.org/10.47648/zhswmcj.2022.v0402.11

Islam AFMR1 , Nurunnabi M2 , Jahan S3

Abstract

Dengue infection is a systemic arboviral infection with a clinically diverse spectrum of manifestations. Its clinical features range from asymptomatic subclinical infection to severe multi-organ involvements including death. Cardiac involvement is documented, but uncommon in dengue. Common cardiac manifestations are conduction abnormalities, myocarditis and pericardial effusion. Acute pericarditis in dengue fever (DF) is a rare incidence. We reported a case of DF which was complicated by acute pericarditis. An 18 years male patient suffered from dengue infection. After 7 days, he felt chest pain. Electrocardiogram (ECG) was interpreted as widespread elevation of ST segment in precordial and limb leads, but troponin-I level was normal. Chest radiograph illuminates cardiomegaly and left sided pleural effusion. Echocardiography also showed moderate pericardial effusion. The patient was treated by supportive management and he recovered. Acute pericarditis due to dengue is a rare condition, but it should be always kept in observance as a probable cause. Early diagnosis and rapid treatment are important for an effective outcome.

Keywords: Dengue Pericarditis Cardiac.


  1. Medical Officer

    National Institute of Cardiovascular Diseases (NICVD), Dhaka

  2. Assistant Professor, Department of Community Medicine

    Sylhet Women's Medical College, Sylhet

  3. Senior Consultant

    National Heart Foundation & Research Institute, Sylhet


Volume 4, Number 2, July 2022
Page: 2