Audit on Prescription and Other Related Matters of Adult Sri Lankans, on NSAIDs Including Low Dose Aspirin, Referred to Medical Unit of a Tertiary Referral Centre

Satarasinghe, Ravindra; Navaratne, Crislan; Subasinghe, Chamila; Jayawardana, Ravi; Jayalal, Thushara; Dias, Kokila

doi:10.14309/00000434-201010001-01393

Cited by 1 publication

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“…are especially helpful. 16 , 20 The changes in EKG and cardiac biomarkers seen in our patient were in favor of acute myocarditis as per the European Society of Cardiology criteria. 21 The possibility of acute coronary syndrome was ruled out by the inconclusive EKG changes, lack of symptoms, and risk factors.…”

Section: Discussionsupporting

confidence: 56%

“…Different myocarditis prevalence rates have been reported in studies, including 11.3% in China, 24% in Sri Lanka, 37.5% in India, and 2.47% by Miranda et al 15 – 18 Dengue myocarditis can cause symptoms of heart failure or it can be asymptomatic, as it was in our patient, causing diagnostic challenges and delays. 19 …”

Section: Discussionmentioning

confidence: 53%

“…4,5 There has never been any case of patients needing a permanent pacemaker due to an irreversible CHB. Different myocarditis prevalence rates have been reported in studies, including 11.3% in China, 24% in Sri Lanka, 37.5% in India, and 2.47% by Miranda et al [15][16][17][18] Dengue myocarditis can cause symptoms of heart failure or it can be asymptomatic, as it was in our patient, causing diagnostic challenges and delays. 19 CMR and endomyocardial biopsy are valuable diagnostic tools but are not always available or indicated.…”

Section: Discussionmentioning

confidence: 76%

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Dengue beyond fever-fatal dengue myocarditis and complete heart block: A case report and brief overview of cardiac manifestations of dengue fever

Khan,

Akhtar

et al. 2023

SAGE Open Medical Case Reports

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Dengue is an endemic viral fever transmitted by mosquitoes that may be asymptomatic or cause a nonspecific flu-like illness. The disease’s most severe manifestations are dengue hemorrhagic fever and dengue shock syndrome. Various atypical manifestations have been observed that constitute the expanded dengue syndrome. Although uncommon, it is now known to cause cardiac complications that can be life-threatening and difficult to diagnose. We illustrate a case of a 16-year-old boy infected with dengue who experienced syncope, dizziness, and lethargy. His electrocardiogram showed third degree atrioventricular block which did not resolve with atropine and fluid resuscitation. After excluding all possible causes of complete heart block, transvenous pacing was done. A detailed workup was carried out that favored a diagnosis of subclinical myocarditis leading to complete heart block. The patient did not regain a normal rhythm and was considered for permanent pacemaker implantation. Myocarditis, pericarditis, rhythm disturbances, first- and second-degree atrioventricular blocks, and rarely third-degree heart blocks have been seen in dengue patients. However, a case of dengue illness associated complete heart blocks that is irreversible and necessitates a permanent pacemaker has never been described in the literature, and this is the first such case being reported. This article intends to increase clinicians’ awareness, particularly those in dengue-endemic regions, about better recognition and comprehension of cardiac problems associated with dengue fever.

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Section: Discussionsupporting

confidence: 56%