Electrocardiographic findings compatible with Brugada syndrome in a patient with febrile respiratory infection

Hippokratia 2010; 14(3):221-223

K. Tsarouhas, P. Papalexis, I. Kafantaris, Ch. Tsitsimpikou, S. Vavetsi, E. Rentoukas


Brugada syndrome is an inherited autosomal dominant-type disease characterized by ST-segment abnormalities and increased fatal ventricular tachyarrhythmias. We hereby present a 57-years-old patient with no symptoms or history of cardiovascular disease, diagnosed with febrile respiratory infection (39?C). Electrocardiographic (ECG) findings were typical of Brugada-like type I syndrome that gradually turned to Brugada type II and III, following fever remission, and finally became normal. Other clinical evaluation tests (echocardiographic evaluation, treadmill stress test, Holter ECG, procainamide provocation test) did not relate to Brugada syndrome.