A case of Brugada Syndrome unmasked by a postoperative febrile state

Jharendra Rijal, Smith Giri, Sumesh Khanal, Khagendra Dahal

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Brugada Syndrome (BS) is an inherited ion channelopathy characterized by an electrocardiographic (ECG) pattern of a coved type ST segment elevation in right precordial leads with or without right bundle branch block. Case Presentation: A 23-year old male presented with right lower quadrant abdominal pain. Further evaluation revealed a diagnosis of acute appendicitis. The patient developed a febrile episode on second post-operative day of laparoscopic appendectomy. ECG revealed features consistent with BS. Prompt control of temperature in the patient resolved the ST-segment elevation and prevented potentially life-threatening arrhythmias. Conclusion: Febrile episodes in susceptible patients may unmask a concealed BS. Prompt control of temperature is advocated to reduce the risk of life-threatening arrythmias.

Original languageEnglish (US)
Pages (from-to)43-45
Number of pages3
JournalCaspian Journal of Internal Medicine
Volume6
Issue number1
StatePublished - 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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