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Case Reports
. 2023 Sep 30;11(10):e8005.
doi: 10.1002/ccr3.8005. eCollection 2023 Oct.

Brugada syndrome unmasked by dengue fever

Lokesh Koumar Sivanandam  1   2 , Hima Bindu R Basani  2   3 , Vivek Sanker  2   4 , Shamal Roshan S  2   5 , Marah Hunjul  2   6 , Umang Gupta  2   7
Affiliations
Case Reports

Brugada syndrome unmasked by dengue fever

Lokesh Koumar Sivanandam et al. Clin Case Rep. .

Abstract

Key clinical message: Understanding the circumstances, leading to unmasking of hidden Brugada syndrome is essential for the practicing clinician and the patients so that they are informed adequately to seek prompt medical attention.

Abstract: Brugada syndrome is a genetic arrhythmia syndrome characterized by a coved type of ST-segment elevation in the ECG. The patients are usually asymptomatic, with unmasking of the disease under certain conditions. We are reporting the case of a patient diagnosed with Brugada syndrome, which was unmasked during an attack of dengue fever.

Keywords: Brugada ECG pattern; Brugada syndrome; India; dengue fever; febrile illness.

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

FIGURE 1
FIGURE 1
ECG taken at the time of admission (J point elevation of 2 mm from PQ with rectilinear ST depression with T inversion, satisfying the criteria for Type 1 Brugada syndrome, similar pattern seen in aVR, sinus rhythm at 78/min, QRS axis normal, QRS narrow complex, no atrial or ventricular hypertrophy pattern, QTc interval—350 ms).
FIGURE 2
FIGURE 2
ECG taken at the time of discharge (J point elevation of 2 mm from PQ with rectilinear ST depression with T inversion, satisfying the criteria for Type 1 Brugada syndrome, similar pattern seen in aVR, sinus rhythm at 70/min, QRS axis normal, QRS narrow complex, no atrial or ventricular hypertrophy pattern, QTc interval—350 ms).
See this image and copyright information in PMC

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