Miocarditis por dengue. Serie de casos y revisión de la literatura

Abstract

Dengue 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.