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VOLUME 7 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Unmasking of Brugada Syndrome by Tropical Fever—An Unusual Presentation: A Case Report

Manish R Pahadia, Puneet Rijhwani, Rajeev Sharma, Komal Girdhar, Ankita Tilala, Abhinav Garg

Keywords : Brugada syndrome, Case report, ST elevation, Sudden cardiac death

Citation Information : Pahadia MR, Rijhwani P, Sharma R, Girdhar K, Tilala A, Garg A. Unmasking of Brugada Syndrome by Tropical Fever—An Unusual Presentation: A Case Report. J Mahatma Gandhi Univ Med Sci Tech 2022; 7 (3):95-97.

DOI: 10.5005/jp-journals-10057-0220

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Introduction: Brugada syndrome is a rare inherited syndrome characterized by arrythmia leading to an increased risk of sudden cardiac death, despite a structurally normal heart. Diagnosis is based upon a specific ECG finding either spontaneously or after a sodium blocker test. Case description: We hereby report the case of a young male who presented to us with fever and chest pain which was initially evaluated on the lines of tropical fever but eventually lead to the diagnosis of Brugada Syndrome. Discussion: Brugada syndrome should be considered in young patients presenting with chest pain with ECG findings of ST elevation after differentiating it from Myocardial Infarction, which is its closest differential. Conclusion: Brugada syndrome is a diagnosis that requires high level of clinical suspicion. Since it can cause sudden cardiac death, a preventive intervention is required. Clinical significance: This case signifies the importance of differentiating ST elevation of Myocardial Ischaemia and Brugada syndrome. Since the management of both is different and prevention strategies need to be employed for Brugada syndrome.

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