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Proc (Bayl Univ Med Cent). 2018 Sep 27;31(4):487-489. doi: 10.1080/08998280.2018.1482519. eCollection 2018 Oct.

Dengue fever as a cause of perimyocarditis and low-pressure cardiac tamponade.

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Department of Cardiovascular Medicine, Lenox Hill Hospital-Northwell HealthNew YorkNew York.
Department of Interventional Cardiology, Jamaica Hospital Medical CenterJamaicaNew York.


We describe a case of dengue shock syndrome, perimyocarditis, and low-pressure cardiac tamponade following a trip to the Caribbean. The case was managed in the critical care unit and 6 weeks after discharge the patient was asymptomatic with a normal ejection fraction. Dengue fever presenting as cardiac tamponade is exceedingly rare and emphasizes the importance of taking a thorough travel history as well as being aware of atypical manifestations of rare diseases to make a correct diagnosis.


Critical care; dengue fever; low-pressure cardiac tamponade; perimyocarditis

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