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Folia Medica Indonesiana

ISSN 0303-7932

Vol. 51 / No. 2 / Published : 2015-04

TOC : 9, and page :118 - 124

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Original Article :

Case report: dengue fever with perimyocarditis

Author :

  1. Suryono*1
  1. Faculty of Medicine, Universitas Jember, Dr. Soebandi Hospital, Jember

Abstract :

Perimyocarditis (PM) is one of the complications of dengue hemorrhagic fever (DHF). This complication is often not be diagnosedbecause clinicians often focused on dengue shock syndrome (DSS) with similar clinical picture. It is reported that more than 70% ofpatients who experienced dengue hemorrhagic fever (DSS) is accompanied by the PM, although the PM can also occur without DSS.The clinical presentation of PM vary from mild clinical symptoms to cardiogenic shock. The virus group of B Arthoropod borne virus(Arbovirus) type DEN-2 and DEN-3 is the cause of DHF that often lead to PM. PM diagnosis was based on the existence of signs ofmyocarditis and pericarditis. Pericarditis is a continuation of the occurrence of myocarditis. Myocarditis symptoms such astightness, palpitations, chest pain, ECG changes, left ventricular dysfunction, and increase in cardiac markers (CKMB/troponin) orthere is a profile of myocarditis in MRI. Acute pericarditis is diagnosed if there are at least two criteria of the clinicalmanifestations: chest pain, frictional rub on auscultation, ECG changes such as ST elevation, and the presence of pericardialeffusion in the echocardiography. PM treatment is using NSAIDs, corticosteroids, and immunosuppressants if needed. (FMI2015;51:118-124)

Keyword :

DHF, DSS, pericarditis, myocarditis,

References :

  1. Dennert R, Crijns HJ, Heyman S , (2008). Acute viral myocarditis. 29, 2073-2082 : Eur Heart J
  2. Freixa X , (2010). Evaluation, management, and treatment of acute pericarditis and myocarditis in the emergency department. 22, 301-306 : Emergencias


Archive Article

Cover Media Content

Volume : 51 / No. : 2 / Pub. : 2015-04
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  2. Comparison of the effect of statin types on the reduction of lipid profile and hs-crp inflammatory marker in diabetics with dyslipidemia
  3. Ciprofloxacin is effective in benign prostatic hyperplasia (bph) patients with urethral catheters
  4. Procalcitonin as biomarker of antibiotic effectivity in communityacquired pneumonia
  5. Effect of fursultiamine supplementation on left ventricular ejection fraction (lvef) in grade iii – iv heart failure patients
  6. Diagnostic value of st2 in patients with acute myocardial infarction
  7. Molecular analysis of rpob gene of mycobacterium tuberculosis in patients with suspected pulmonary tuberculosis in surabaya
  8. Liver function tests of patients with dengue fever, dengue hemorrhagic fever and dengue shock syndrome in tropic and infectious disease ward in the department of internal medicine, dr. soetomo hospital, surabaya
  9. Case report: dengue fever with perimyocarditis
  10. Correlation between heat shock protein (hsp) 70 level and left ventricular dysfunction and its effect on cardiovascular and rehospitalization incidence in patients with acute coronary syndrome
  11. Effect of tomato (lycopersicum commune) juice on vaginal wall elasticity in menopausal rats
  12. Acetosal resistance in coronary artery disease between and within type 2 diabetes mellitus patients
  13. Immunochromatography method for rotavirus detection provides good accuracy in diagnosis of rotavirus diarrhea in children