Atrial fibrillation as a complication of dengue hemorrhagic fever: non-self-limiting manifestation.
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.
Mahmod
Masliza
M
Department of Medicine, National University of Malaysia, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. mmd@mail.hukm.ukm.my
Darul
Noor Darinah Mohd
ND
Mokhtar
Ibtisam
I
Nor
Norazirah Md
NM
Anshar
Fauzi Md
FM
Maskon
Oteh
O
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
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone