title: Fulminant dengue myocarditis masquerading as acute myocardial infarction.
abstract: Dengue fever is manifested by a sudden onset of fever (http://en.wikipedia.org/wiki/Fever), with severe headache, myalgias (http://en.wikipedia.org/wiki/Myalgia), arthralgias (http://en.wikipedia.org/wiki/Arthralgia) and characteristic bright red petechia (http://en.wikipedia.org/wiki/Petechia). The exact incidence and pathophysiological mechanism of dengue myocarditis remain obscure, but most of these cases are self-limiting. Fatal dengue myocarditis is a very rare complication of dengue fever. The non-specific symptoms and signs of dengue myocarditis make early diagnosis difficult. A 25-year-old Indian male, suffered from fulminant dengue myocarditis, presented to a our hospital with symptoms and electrocardiographic features mimicking acute myocardial infarction. Unfortunately, the patient succumbed before the dengue serology results were available.
authors.affiliation: The Heart Institute, National University Hospital Singapore, Singapore. Leechihang@nuh.com.sg
authors.forename: Chi-Hang
authors.initials: CH
authors.lastname: Lee
authors.forename: Clarence
authors.initials: C
authors.lastname: Teo
authors.forename: Adrian F
authors.initials: AF
authors.lastname: Low
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003715:Dengue / Q000150:complications*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis*; D009205:Myocarditis / Q000175:diagnosis* / Q000821:virology*; D012720:Severity of Illness Index