Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 4  |  Page : 135-137

Dengue myocarditis presenting with mitral valve involvement


Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Arvind Mishra
Professor, Department of Medicine, King George's Medical University, Lucknow - 226003, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.162393

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We admitted a case of dengue fever who was positive for dengue serotype 2 in the Department of Medicine, King George's Medical University (K.G.M.U.), Lucknow, Uttar Pradesh, India. The patient had developed erythematous rashes with thrombocytopenia and bleeding manifestation in the form of microscopic hematuria. While he was recovering from the illness, he developed a sudden onset of breathlessness. On examination, his chest was full of crepitation bilaterally and his x-ray was suggestive of pulmonary edema. His troponin T (Trop T) and prohormone brain natriuretic peptide (proBNP) levels were elevated. Two-dimensional echo showed global left ventricular (LV) hypokinesia with mitral regurgitation (MR) and tricuspid regurgitation (TR). A diagnosis of myocarditis was made and the patient was managed in an intensive care unit (ICU) setting. The patient recovered from the illness and after a follow-up period of 6 weeks, showed no residual cardiac abnormality.


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