• Clin Pract Cases Emerg Med · May 2020

    Case Reports

    Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report.

    • Orhay Mirzapolos, Perry Marshall, and April Brill.
    • Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois.
    • Clin Pract Cases Emerg Med. 2020 May 1; 4 (2): 244-246.

    IntroductionBrugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy.Case ReportThis case report highlights the case of a five-year-old female who presented to the emergency department with a febrile viral illness and had an EKG consistent with Brugada syndrome.DiscussionFever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels.ConclusionFebrile patients with Brugada are at particular risk for fatal ventricular arrhythmias and fevers should be treated aggressively by the emergency medicine provider. Emergency medicine providers should also consider admitting febrile patients with Brugada syndrome who do not have an automatic implantable cardioverter-defibrillator for cardiac monitoring.Copyright: © 2020 Mirzapolos et al.

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