Myocarditis in Dengue Fever
Abstract
There is a wide variation in the reported incidence of cardiac involvement in dengue due to the difference in the criteria used to identify cardiac involvement. Most common cardiac rhythm abnormality noted was sinus bradycardia, which was often self limited. Fulminant and fatal myocarditis have been documented in a few cases; though in general, most cases with cardiac manifestations improve with supportive care. Only about one tenth of patients with biomarker elevation had evidence of depressed left ventricular systolic function on echocardiography. Higher incidence of depressed left ventricular ejection fraction was noted in dengue shock syndrome.References
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7. Chakravarti A, Suresh K, Neha, Shweta, Malik S. Dengue outbreak in Delhi in 2009: study of laboratory and clinical parameters. J Commun Dis. 2012 Sep;44(3):163-8.
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9. Kariyawasam S, Senanayake H. Dengue infections during pregnancy: case series from a tertiary care hospital in Sri Lanka. J Infect Dev Ctries. 2010 Nov 24;4(11):767-75.
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