{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:37:13Z","timestamp":1781311033852,"version":"3.54.1"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Dengue fever is an arboviral infection whose presentation ranges from a mild febrile illness to a multisystem complicated syndrome. We report a case of 58-year-old female presenting with fever, myalgia, arthralgia, and vomiting who was found to be infected with dengue and had electrocardiography changes revealing ST-segment elevation myocardial infarction, a rare manifestation in dengue. Dengue fever can affect the cardiovascular system leading to conduction abnormalities, hypotension, arrhythmias, myocarditis, cardiomyopathy, and occasionally myocardial infarction, which has been reported in only a few case reports prior to this. The differentiation between myocarditis and myocardial infarction is essential for which echocardiography and coronary angiography can be helpful. It is essential to keep an eye on the cardiovascular complications in a dengue patient as the presentation can be quite subtle with devastating consequences. <\/jats:p>","DOI":"10.1177\/2050313x231225342","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T09:49:54Z","timestamp":1704793794000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Dengue fever complicated with ST elevation myocardial infarction with atypical features: A case report"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0005-7718","authenticated-orcid":false,"given":"Ashutosh","family":"Kashyap","sequence":"first","affiliation":[{"name":"Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laxmi Raj","family":"Bhatta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lalratna Hospital, Kailali, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhuwan","family":"Bhatta","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Nepali","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Chitwan Medical College and Teaching Hospital, Chitwan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratigya","family":"Gyawali","sequence":"additional","affiliation":[{"name":"Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2219-3427","authenticated-orcid":false,"given":"Ashik","family":"Rajak","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita","family":"Dhakal","sequence":"additional","affiliation":[{"name":"Birat Medical College and Teaching Hospital, Biratnagar, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"bibr1-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60572-9"},{"key":"bibr2-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6803098"},{"key":"bibr3-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2021-033"},{"key":"bibr4-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.3126\/ajms.v12i2.30410"},{"key":"bibr5-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2015.05.023"},{"key":"bibr6-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1086\/341410"},{"key":"bibr7-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2008.05.023"},{"key":"bibr8-2050313X231225342","first-page":"1","volume":"2020","author":"Dandeniya CL","year":"2020","journal-title":"Case Rep Infect Dis"},{"key":"bibr9-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcdr.2013.03.001"},{"key":"bibr10-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(98)00008-4"},{"key":"bibr11-2050313X231225342","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00487-0"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X231225342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X231225342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X231225342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T11:04:05Z","timestamp":1740913445000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X231225342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":11,"alternative-id":["10.1177\/2050313X231225342"],"URL":"https:\/\/doi.org\/10.1177\/2050313x231225342","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"2050313X231225342"}}