Article Details

Case Report
Volume 01, Issue 01 (April–June 2025)

Fever Unveils the Hidden Danger: A Case Report of Brugada Pattern Unmasked by Pyrexia

Samaga S1* , Alphonse AJ1, Narayanan K1, Sam SD1, Aravind S1, Narendran A1, Kunju S2 and Vinayakumar D3

1Senior Resident, Department of Cardiology, Government TD Medical College Alappuzha, Kerala, India
2Assistant Professor, Department of Cardiology, Government TD Medical College Alappuzha, Kerala, India
3Professor and Head, Department of Cardiology, Government TD Medical College Alappuzha, Kerala, India

*Corresponding author: Dr. Samaga S, Senior Resident, Department of Cardiology, Government TD Medical College Alappuzha, Kerala, India.
E-mail: shreyassamaga@gmail.com.

DOI: doi.org/10.64874/crcscj.v1i1.2025.003

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Abstract

Brugada syndrome (BS) is rare and potentially lethal arrhythmogenic disorder characterized by specific electrocardiographic abnormalities, which are often seen as the Brugada pattern. In the case report presented, a patient who had no history of syncope or documented arrhythmias experienced a febrile episode that precipitated the sudden appearance of Brugada-like ECG changes. This occurrence underscores the need for clinicians to remain vigilant for BS in febrile patients, even in the absence of prior cardiac findings. The typical ECG features of Brugada syndrome are more prominent during febrile illnesses, likely due to the inflammatory response and electrolyte disturbances associated with fever, which can trigger or reveal Brugada syndrome ECG patterns in individuals at risk. Detecting an increased risk of dysrhythmia in these patients is crucial, as it appears to be linked to a higher likelihood of in-hospital mortality.

Keywords: Brugada pattern; Fever; Electrocardiogram