Staten Island University Hospital , jrijal.1@gmail.com
Abstract: (8320 Views)
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
Rijal J, Giri S, Khanal S, Dahal K. A case of Brugada Syndrome unmasked by a postoperative febrile state. Caspian J Intern Med 2015; 6 (1) :43-45 URL: http://caspjim.com/article-1-251-en.html