FULMINANT MYOCARDITIS ASSOCIATED WITH SEVERE DENGUE IN A YOUNG PATIENT FROM THE PERUVIAN AMAZON: CASE REPORT AND LITER ATURE REVIEW

Ramirez-García E.A.; Canchanya-Olimar M.J.V.; Montenegro-Matute G.F.; Varela-Meza E.E.; Mesones-Ramirez V.; Paucar-Gonzales C.; Reyes-Correa D.; Ramirezfernández A.G.; Celis-Salinas J.C.; Casapía-Morales M. · Revista Peruana de Medicina Experimental y Salud Publica (2025) · DOI: 10.17843/rpmesp.2025.424.14881

Resumen

Dengue is an endemic viral infection of tropical regions that can present with clinical presentations ranging from mild forms to severe complications. Dengue-associated myocarditis, although uncommon, is a potentially fatal complication that should be suspected in febrile patients from endemic areas presenting with signs of cardiovascular dysfunction. We present the case of a 21-year-old male, resident in the Peruvian Amazon, who developed acute heart failure and refractory cardiogenic shock secondary to dengue myocarditis, with a fatal outcome on the third day of hospitalization. This case highlights the importance of early recognition of myocardial involvement and timely cardiovascular monitoring to reduce mortality associated with this infection.

Instituciones: Universidad Nacional de la Amazonía Peruana