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      Fulminant dengue myocarditis masquerading as acute myocardial infarction.

      International Journal of Cardiology

      Severity of Illness Index, virology, diagnosis, Myocarditis, Myocardial Infarction, Male, Humans, Electrocardiography, Diagnosis, Differential, complications, Dengue, Coronary Angiography, Adult

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          Abstract

          Dengue fever is manifested by a sudden onset of fever (http://en.wikipedia.org/wiki/Fever), with severe headache, myalgias (http://en.wikipedia.org/wiki/Myalgia), arthralgias (http://en.wikipedia.org/wiki/Arthralgia) and characteristic bright red petechia (http://en.wikipedia.org/wiki/Petechia). The exact incidence and pathophysiological mechanism of dengue myocarditis remain obscure, but most of these cases are self-limiting. Fatal dengue myocarditis is a very rare complication of dengue fever. The non-specific symptoms and signs of dengue myocarditis make early diagnosis difficult. A 25-year-old Indian male, suffered from fulminant dengue myocarditis, presented to a our hospital with symptoms and electrocardiographic features mimicking acute myocardial infarction. Unfortunately, the patient succumbed before the dengue serology results were available.

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          Journal
          10.1016/j.ijcard.2008.05.023
          18701172

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