{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T03:12:17Z","timestamp":1768014737704,"version":"3.49.0"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,7,2]]},"abstract":"<jats:p>Myocarditis is an uncommon manifestation of dengue fever. We describe a case of a 69-year-old Hispanic male who presented to an emergency room in New York City 3 days after returning from a trip to the Dominican Republic complaining of a 1-day history of chest pain and fever. His first electrocardiogram showed a new left bundle branch block, and initial cardiac enzymes included troponin of 5 ng\/dL, creatine kinase-MB of 9 ng\/mL, and myoglobin of 234 ng\/mL. Dengue fever antibodies were found to be elevated: immunoglobulin M (IgM) titer was 2.48 (reference range &lt; 0.9), and immunoglobulin G (IgG) titer was 4.26 (reference range &lt; 0.9). The patient was diagnosed with myocarditis caused by dengue fever. He improved after 1 week with conservative management in a telemetry unit and was discharged home.<\/jats:p>","DOI":"10.4269\/ajtmh.13-0637","type":"journal-article","created":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T07:04:23Z","timestamp":1401779063000},"page":"156-158","source":"Crossref","is-referenced-by-count":11,"title":["Myocarditis in a Traveler Returning from the Dominican Republic: An Unusual Presentation of Dengue Fever"],"prefix":"10.4269","volume":"91","author":[{"given":"Diego","family":"Zea","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Foley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne","family":"Carey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Dengue, Guidelines for Diagnosis, Treatment, Prevention and Control\u2014New Edition","author":"WHO","year":"2009"},{"key":"R2","series-title":"Clin Infect Dis","first-page":"563","article-title":"Dengue\u2014how best to classify it","volume":"53","author":"Srikiatkhachorn","year":"2011"},{"key":"R3","series-title":"Trop Med Int Health","first-page":"1087","article-title":"Atypical manifestations of dengue","volume":"12","author":"Gulati","year":"2007"},{"key":"R4","series-title":"Br Heart J","first-page":"204","article-title":"Arbovirus (dengue type) as a cause of acute myocarditis and pericarditis","volume":"35","author":"Nagaratnam","year":"1973"},{"key":"R5","series-title":"Ceylon Med J","first-page":"75","article-title":"Myocarditis in three patients with dengue type 3 infection","volume":"51","author":"Kularatne","year":"2006"},{"key":"R6","series-title":"Int J Infect Dis","first-page":"e919","article-title":"Acute myocarditis in dengue hemorrhagic fever: a case report and a review of cardiac complications in dengue-affected patients","volume":"14","author":"Lee","year":"2010"},{"key":"R7","series-title":"Int J Cardiol","first-page":"e69","article-title":"Fulminant dengue myocarditis masquerading as acute myocardial infarction","volume":"136","author":"Lee","year":"2009"},{"key":"R8","series-title":"Pediatr Infect Dis J","first-page":"238","article-title":"Heart and skeletal muscle are targets of dengue virus infection","volume":"29","author":"Salgado","year":"2010"},{"key":"R9","series-title":"Int J Infect Dis","first-page":"e565","article-title":"Repeated dengue shock syndrome and \u2018dengue myocarditis\u2019 responding dramatically to a single dose of methyl prednisolone","volume":"16","author":"Premaratna","year":"2012"},{"key":"R10","series-title":"J Med Assoc Thai","first-page":"1419","article-title":"Adjunctive corticosteroid therapy in 149 grade II (non-shock) adult DHF patients: an analysis during January 2008\u2013February 2010","volume":"94","author":"Srichaikul","year":"2011"},{"key":"R11","series-title":"PLoS Negl Trop Dis","first-page":"e785","article-title":"A randomized controlled trial of chloroquine for the treatment of dengue in Vietnamese adults","volume":"4","author":"Tricou","year":"2010"},{"key":"R12","series-title":"How to Reduce Your Risk of Dengue Infection","author":"Centers for Disease Control and Prevention","year":"2012"},{"key":"R13","series-title":"Am J Trop Med Hyg","first-page":"212","article-title":"Dengue: the syndromic basis to pathogenesis research. 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