Fever and Hyponatremia Unmasking Brugada Pattern Electrocardiogram in a Patient With SARS-CoV-2 Infection

Brugada syndrome is an autosomal dominant genetic disorder that primarily affects myocardial sodium channels and has been associated with an increased risk of ventricular tachyarrhythmias and sudden cardiac death. Here, we report a case of a 58-year-old Hispanic male with a history significant for p...

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Published inCurēus (Palo Alto, CA) Vol. 13; no. 10
Main Authors Ayad, Sarah, Alyacoub, Ramez, Gergis, Kirolos, Noori, Muhammad Atif Masood, Elkattawy, Sherif, Abdelazeem, Basel, Pullatt, Raja
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 07.10.2021
Cureus
Subjects
Asymptomatic
Cardiac arrhythmia
Cardiology
Case reports
Coronaviruses
COVID-19
Defibrillators
Electrocardiography
Electrolytes
Fever
Genetic disorders
Hyponatremia
Infections
Infectious Disease
Influenza
Laboratories
Patients
Severe acute respiratory syndrome coronavirus 2
Sodium
Tuberculosis
Viral infections
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Summary:Brugada syndrome is an autosomal dominant genetic disorder that primarily affects myocardial sodium channels and has been associated with an increased risk of ventricular tachyarrhythmias and sudden cardiac death. Here, we report a case of a 58-year-old Hispanic male with a history significant for prior pulmonary tuberculosis infection who presented with pleuritic left-sided chest pain associated with body aches, productive cough, fevers, and chills and was found to be positive for SARS-CoV-2 by real-time reverse-transcription-polymerase chain reaction (rRT-PCR). Electrocardiogram (ECG, EKG) on presentation demonstrated a coved ST-segment elevation in V1-V2, suggesting Brugada pattern type 1 without evidence of ischemic changes. EKG changes normalized once fever and hyponatremia improved.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18578