Browsing by Autor "Fernando Leite"
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Item type: Item , Dengue Myocarditis: A Case Report and Major Review(Elsevier BV, 2023) Roberto Cristodulo; Gracia Luoma-Overstreet; Fernando Leite; Juan Manuel Vaca Villarroel; Michelle Navia; G Durán; Fernando Molina; Bozorg Zonneveld; Sergio V. Perrone; Alejandro BarbagelataDengue is a viral disease transmitted by the bite of a female arthropod, prevalent primarily in tropical and subtropical regions. Its manifestations include asymptomatic infections, dengue fever, and a severe form called <i>hemorrhagic dengue</i> or <i>dengue shock syndrome</i>. Atypical manifestations can also occur, called <i>expanded dengue syndrome</i>. We describe the case of a 43-year-old man with an unusual presentation of dengue, demonstrating a workup suggestive of myocardial and pericardial damage. Symptoms and markers indicative of cardiac compromise improved after five days on anti-inflammatory treatment. Dengue myocarditis is considered an uncommon complication of dengue, although its reported incidence is likely an underestimation. In general, most cases of dengue myocarditis are self-limited, with only a minority at risk of progressing to heart failure. In order to improve recognition and prevent progression, healthcare providers should maintain a high degree of suspicion regarding potential cardiac complications in patients with dengue.Item type: Item , Miocarditis por dengue. Serie de casos y revisión de la literatura(2025) Beatriz Alicia Martinez Salazar; Mónica Gilda Pocoata Zenteno; Fernando LeiteDengue is an endemic disease in tropical and subtropical regions, constituting a serious public health problem on a global scale. The Americas report the highest number of cases; Although uncommon, cardiovascular manifestations of dengue can be associated with mild conditions and, in some cases, progress to severe forms. These can range from a silent condition to severe myocardial dysfunction, presenting in various forms from asymptomatic myocarditis to fulminant myocarditis. Diagnosis requires a thorough clinical examination and complementary tests such as endomyocardial biopsy and cardiac MRI, which are very useful when clinical suspicion arises. In some cases, the disease course can complicate and affect treatment decisions. It is emphasized the need to consider the dengue virus as a cause of myocarditis to detect cardiac damage early and prevent severe complications. The purpose of publishing this case series is to raise awareness in the medical community about the cardiac complications associated with dengue and to promote timely interventions.