Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Nov 23;104(2):552-556.
doi: 10.4269/ajtmh.20-0372.

Case Report: Refractory Shock due to Fulminant Dengue Myocarditis Treated with Venoarterial Extracorporeal Membrane Oxygenation: A Report of Four Cases

Laura Teysseyre  1 , Yael Levy  1 , Amélie Renou  1 , Charles Vidal  1 , Mathilde Larghi  2 , Guillaume Biland  2 , Nicolas Ledieu  3 , Nicolas Allou  1   4 , Julien Jabot  1 , Jérôme Allyn  1   4
Affiliations
Case Reports

Case Report: Refractory Shock due to Fulminant Dengue Myocarditis Treated with Venoarterial Extracorporeal Membrane Oxygenation: A Report of Four Cases

Laura Teysseyre et al. Am J Trop Med Hyg. .

Abstract

Dengue disease is found worldwide and has been spreading exponentially in the past decades. Severe forms affect about 2% of patients, sometimes leading to organ failure. Recent studies have shown that fulminant dengue myocarditis is more common than previously thought, and fatal cases have been reported. The treatment of fulminant dengue myocarditis remains supportive and is very challenging in cases of cardiogenic shock. Here, we describe four cases presenting with fulminant dengue myocarditis treated with extracorporeal membrane oxygenation, among two survived.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Case 1 echocardiography. (A) Thrombosis of left ventriclar outflow tract. (B) Thrombosis forming under the aortic annula. (C) Complete aortic valve closure, thrombosis of sinus of Valsalva. (D) Ejection fraction less than 10% and pericardial effusion on apical four chamber view.
Figure 2.
Figure 2.
Case 1 magnetic resonance imaging. Contrast linear enhancement in lateral basal and median areas (arrow markers). This figure appears in color at www.ajtmh.org.
See this image and copyright information in PMC

References

    1. Guzman MG, Harris E, 2015. Dengue. Lancet 385: 453–465. - PubMed
    1. World Health Organization , 2020. Dengue et dengue sévère. Geneva, Switzerland: WHO; Available at: https://www.who.int/fr/news-room/fact-sheets/detail/dengue-and-severe-de.... Accessed June 1, 2020.
    1. World Health organization , 2009. Dengue Guidelines for Diagnosis, Treatment, Prevention and Control. WHO Library Cataloguing-in-Publication Data. Geneva, Switzerland: WHO; Available at: https://www.who.int/publications/i/item/9789241547871. Accessed December 1, 2018. - PubMed
    1. Sane S, Saulova A, McLaren R, White H, 2015. A fatal case of primary dengue infection with myocarditis and cerebral oedema. Australas Med J 8: 299–303. - PMC - PubMed
    1. Woon YL, Hor CP, Hussin N, Zakaria A, Goh PP, Cheah WK, 2016. A two-year review on epidemiology and clinical characteristics of dengue deaths in Malaysia, 2013–2014. PLoS Negl Trop Dis 10: e0004575. - PMC - PubMed

Publication types

LinkOut - more resources