title: A case of Brugada Syndrome unmasked by a postoperative febrile state.
abstract: BACKGROUND
  Brugada Syndrome (BS) is an inherited ion channelopathy characterized by an electrocardiographic (ECG) pattern of a coved type ST segment elevation in right precordial leads with or without right bundle branch block.
  
  
  METHODS
  A 23-year old male presented with right lower quadrant abdominal pain. Further evaluation revealed a diagnosis of acute appendicitis. The patient developed a febrile episode on second post-operative day of laparoscopic appendectomy. ECG revealed features consistent with BS. Prompt control of temperature in the patient resolved the ST-segment elevation and prevented potentially life-threatening arrhythmias.
  
  
  CONCLUSIONS
  Febrile episodes in susceptible patients may unmask a concealed BS. Prompt control of temperature is advocated to reduce the risk of life-threatening arrythmias.
authors.affiliation: Department of Internal Medicine, Staten Island University Hospital, Staten Island, 475 Seaview Avenue, Staten Island, NY 10305, USA.
authors.forename: Jharendra
authors.initials: J
authors.lastname: Rijal
authors.affiliation: Department of Medicine, University of Tennesse Health Science Center, 956 Court Avenue, Memphis, TN 38163, USA.
authors.forename: Smith
authors.initials: S
authors.lastname: Giri
authors.affiliation: Department of Medicine, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, PO Box 1524, Kathmandu, Nepal.
authors.forename: Sumesh
authors.initials: S
authors.lastname: Khanal
authors.affiliation: Department of Medicine, Lakes Region General Hospital 80 Highland Street, Laconia, NH 3246, USA.
authors.forename: Khagendra
authors.initials: K
authors.lastname: Dahal
keywords: Arrythmias; Brugada Syndrome; Electrocardiogram; appendectomy; fever