Dengue Myocarditis Complicated by COVID-19: A Case Report on Dual Viral Infection

Area of Science:

• Infectious Diseases
• Cardiology
• Virology

Background:

• The COVID-19 pandemic necessitates awareness of co-infections, particularly in tropical regions where diseases like dengue fever (DF) are endemic.
• Dengue virus (DENV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) share overlapping symptoms, complicating diagnosis.
• Prompt identification of dual infections is critical for effective clinical management.

Observation:

• A middle-aged male patient in Northern India presented with dengue fever and myocarditis.
• The patient was simultaneously diagnosed with a co-infection of COVID-19.
• This case highlights the diagnostic challenge of concurrent DENV and SARS-CoV-2 infections.

Findings:

• The patient with concurrent dengue fever, myocarditis, and COVID-19 co-infection received management according to the COVID-19 protocol.
• Despite the complexity of co-infections, the patient experienced a favorable clinical outcome.
• This case underscores the importance of considering and managing multiple viral infections simultaneously.

Implications:

• Clinicians should maintain a high index of suspicion for co-infections in endemic areas, especially with overlapping symptomatology.
• Integrated management protocols for conditions like dengue and COVID-19 are essential for favorable patient outcomes.
• This case contributes to the understanding of managing complex viral co-infections in clinical practice.