Clinically suspected myocarditis complicating dengue shock syndrome: a case report and literature review of cardiac complication in dengue-affected pediatric patient

Authors

  • Dita Aulia Rachmi Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0000-0003-0741-1542
  • Drastis Mahardiana Mardi Waluyo Hospital, Blitar, Indonesia
  • Eka Prasetya Budi Mulia Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0000-0002-2681-7743
  • Agus Subagjo Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga Dr. Soetomo General Hospital, Surabaya, Indonesia

DOI:

https://doi.org/10.22141/2224-0551.16.4.2021.236910

Keywords:

dengue, shock, myocarditis, bradycardia, pediatric, case report

Abstract

We report a case of dengue shock syndrome complicated by clinically suspected acute myocarditis in pediatric patient at a limited-resources hospital in a rural area and review the literature. A 12-year-old boy who experienced dengue shock syndrome developed bradycardia on day 7th of illness. His electrocardiogram during the bradycardia showed sinus bradycardia with a rate of 50 beats per minute. Atropine sulfate and dobutamine, alongside supportive management, were administered. The patient recovered 4 days later. We found a total of seven articles involving pediatric patient with dengue illness and cardiac complications by PubMed search. Clinical manifestations of cardiac involvement in pediatric patient with dengue varied and were mostly transient from tachy-bradyarrhythmia, sinus node dysfunction, low blood pressure, decreased ejection fraction, lower cardiac output, and increased cardiac enzyme. Transient cardiac abnormality can be an important presentation, and physician should have high awareness of cardiac complication in dengue-affected pediatric patients to manage them accordingly.

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References

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Published

2022-01-05

How to Cite

Rachmi, D. A., Mahardiana, D., Budi Mulia, E. P., & Subagjo, A. (2022). Clinically suspected myocarditis complicating dengue shock syndrome: a case report and literature review of cardiac complication in dengue-affected pediatric patient. CHILD`S HEALTH, 16(4), 304–308. https://doi.org/10.22141/2224-0551.16.4.2021.236910

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Section

Case Report