Expanded Dengue Syndrome : Myocarditis or ST Elevation Myocardial Infarction : a Case Report

Abstract

Dengue fever is an endemic disease in tropical countries, Indonesia is a tropical country with a high number of dengue infections, dengue fever is an arboviral infection with clinical symptoms of fever to multisystemic complications, the condition is called dengue expansion syndrome, is a clinical manipulation of dengue virus infection involving organs such as the lungs, liver, brain, and heart, has a high mortality rate with systemic complications, especially when it hits the heart. In this case, a 45-year-old female patient with complaints of fever, weakness, nausea and vomiting, during the treatment of the patient complaining of chest pain, an electrocardiography examination was carried out and an elevation ST segment was found, dengue dilation syndrome with cardiac complications can cause heart failure, hypotension, arrhythmias, myocarditis, cardiomyopathy and even myocardial infarction, in this case describes the complications that occur in dengue dilation syndrome in the form of ST elevation that occurs during the examination ECG on the patient. In this case, it is difficult to distinguish the complications that occur as myocarditis or ST myocardial elevation of the infarction.