title: Atrial fibrillation as a complication of dengue hemorrhagic fever: non-self-limiting manifestation.
abstract: While electrocardiogram (ECG) changes are common during viral dengue infection, atrial fibrillation (AF) is a very rare manifestation. It has previously been highlighted that cardiac complications during dengue infection are invariably transient and will spontaneously resolve following recovery from the illness. We present the case of a young patient with IgM- and IgG-positive dengue hemorrhagic fever complicated by AF. ECG revealed a structurally normal heart. The patient remained in AF despite resolution of the illness. Reversion to normal sinus rhythm was achieved after loading of oral amiodarone.
authors.affiliation: Department of Medicine, National University of Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. mmd@mail.hukm.ukm.my
authors.forename: Masliza
authors.initials: M
authors.lastname: Mahmod
authors.forename: Noor Darinah Mohd
authors.initials: ND
authors.lastname: Darul
authors.forename: Ibtisam
authors.initials: I
authors.lastname: Mokhtar
authors.forename: Norazirah Md
authors.initials: NM
authors.lastname: Nor
authors.forename: Fauzi Md
authors.initials: FM
authors.lastname: Anshar
authors.forename: Oteh
authors.initials: O
authors.lastname: Maskon
mesh_terms: D000328:Adult; D000638:Amiodarone / Q000008:administration & dosage / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D019595:Severe Dengue / Q000150:complications*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000889:Anti-Arrhythmia Agents; D000638:Amiodarone