Case Report: Refractory Shock due to Fulminant Dengue Myocarditis Treated with Venoarterial Extracorporeal Membrane Oxygenation: A Report of Four Cases
Laura Teysseyre, Corinne Levy, Amélie Renou, Charles Vidal, Mathilde Larghi, Guillaume Biland, Nicolas Ledieu, Nicolas Allou, Julien Jabot, Jérôme Allyn
Abstract
Dengue disease is found worldwide and has been spreading exponentially in the past decades. Severe forms affect about 2% of patients, sometimes leading to organ failure. Recent studies have shown that fulminant dengue myocarditis is more common than previously thought, and fatal cases have been reported. The treatment of fulminant dengue myocarditis remains supportive and is very challenging in cases of cardiogenic shock. Here, we describe four cases presenting with fulminant dengue myocarditis treated with extracorporeal membrane oxygenation, among two survived.
Topics & Concepts
FulminantMyocarditisCardiogenic shockExtracorporeal membrane oxygenationDengue feverMedicineShock (circulatory)Intensive care medicineCardiologyInternal medicineVirologyMyocardial infarctionMosquito-borne diseases and controlViral Infections and Immunology Research