A case of Brugada Syndrome unmasked by a postoperative febrile state

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 quadra...

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Autores principales: Rijal, Jharendra, Giri, Smith, Khanal, Sumesh, Dahal, Khagendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478119/
https://www.ncbi.nlm.nih.gov/pubmed/26221497
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author Rijal, Jharendra
Giri, Smith
Khanal, Sumesh
Dahal, Khagendra
author_facet Rijal, Jharendra
Giri, Smith
Khanal, Sumesh
Dahal, Khagendra
author_sort Rijal, Jharendra
collection PubMed
description 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.
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spelling pubmed-44781192015-07-28 A case of Brugada Syndrome unmasked by a postoperative febrile state Rijal, Jharendra Giri, Smith Khanal, Sumesh Dahal, Khagendra Caspian J Intern Med Case Report 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. Babol University of Medical Sciences 2015 /pmc/articles/PMC4478119/ /pubmed/26221497 Text en © 2015: Caspian Journal of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rijal, Jharendra
Giri, Smith
Khanal, Sumesh
Dahal, Khagendra
A case of Brugada Syndrome unmasked by a postoperative febrile state
title A case of Brugada Syndrome unmasked by a postoperative febrile state
title_full A case of Brugada Syndrome unmasked by a postoperative febrile state
title_fullStr A case of Brugada Syndrome unmasked by a postoperative febrile state
title_full_unstemmed A case of Brugada Syndrome unmasked by a postoperative febrile state
title_short A case of Brugada Syndrome unmasked by a postoperative febrile state
title_sort case of brugada syndrome unmasked by a postoperative febrile state
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478119/
https://www.ncbi.nlm.nih.gov/pubmed/26221497
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