{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T14:28:23Z","timestamp":1766413703690,"version":"3.48.0"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Dengue is an endemic viral infection in tropical regions, with clinical presentations ranging from mild forms to severe complications. We report the case of a 21-year-old male from the Peruvian Amazon who developed acute heart failure and refractory shock, resulting in death on the third day of hospitalization. Dengue-associated myocarditis is a rare but potentially fatal complication that should be considered in febrile patients with signs of cardiovascular dysfunction, particularly in endemic areas. This case highlights the need for a high index of clinical suspicion, timely cardiac screening, and close monitoring to prevent adverse outcomes.\n\u00a0<\/jats:p>","DOI":"10.17843\/rpmesp.2025.424.14881","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T14:23:48Z","timestamp":1766413428000},"page":"442-6","source":"Crossref","is-referenced-by-count":0,"title":["Miocarditis fulminante asociada a dengue grave en un paciente joven de la Amazon\u00eda peruana:\u00a0 reporte de caso y revisi\u00f3n de la literatura","Myocarditis Associated with Severe Dengue: Case Report and Literature Review in the Peruvian Amazon"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0881-0839","authenticated-orcid":false,"given":"Edgar Antonio","family":"Ramirez Garc\u00eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5854-3538","authenticated-orcid":false,"given":"Maria Jose Valentina","family":"Canchanya Olimar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2073-4042","authenticated-orcid":false,"given":"Gian Franco","family":"Montenegro Matute","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6801-9456","authenticated-orcid":false,"given":"Eliana Esperanza","family":"Varela Meza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4836-408X","authenticated-orcid":false,"given":"Vicente","family":"Mesones Ramirez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5139-7884","authenticated-orcid":false,"given":"Christian Emmanuel","family":"Paucar Gonzales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7556-218X","authenticated-orcid":false,"given":"Dayanna Aleska","family":"Reyes Correa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5128-3296","authenticated-orcid":false,"given":"Alex Guillermo","family":"Ramirez Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2086-2313","authenticated-orcid":false,"given":"Juan Carlos","family":"Celis Salinas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-0948","authenticated-orcid":false,"given":"Mart\u00edn","family":"Casap\u00eda Morales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7920","published-online":{"date-parts":[[2025,12,3]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/14881\/6042","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/14881\/6042","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T14:23:54Z","timestamp":1766413434000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/14881"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2025.424.14881","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,3]]}}}