Myocarditis manifestations in dengue cases: A systematic review and meta-analysis.

Autor: Sandeep M; School of Medical Sciences, University of Hyderabad, Telangana, India., Padhi BK; Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Yella SST; Department of Pharmacology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India., Sruthi KG; Department of Oral Medicine and Radiology, KLE VK Institute of Dental Sciences, Hyderabad, India., Venkatesan RG; Centre for Statistics, SRM Institute of Science and Technology, Tamil Nadu, India., Krishna Sasanka KBS; Department of ENT, All India Institute of Medical Sciences, Deoghar, Jharkhand, India., Satapathy P; Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India., Mohanty A; Department of Clinical Microbiology, All India Institute of Medical Sciences, Gorakhpur, India., Al-Tawfiq JA; Infectious Disease Unit, Specialty Internal Medicine, and Quality and Patient Safety Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN, USA; Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD, USA., Iqhrammullah M; Faculty of Public Health, Universitas Muhammadiyah Aceh, Banda Aceh 23245, Indonesia; Innovative Sustainability Lab, PT. Biham Riset dan Edukasi, Banda Aceh 23243, Indonesia., Rabaan AA; Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia; College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia; Department of Public Health and Nutrition, The University of Haripur, Haripur 22610, Pakistan., Kabi A; Department of Anaesthesia and Critical Care, AIIMS Gorakhpur, Uttar Pradesh 273008, India., Sah S; Research Scientist, Global Consortium for Public Health and Research, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha 442001, India; SR Sanjeevani Hospital, Kalyanpur-11, Siraha, Nepal., Rustagi S; School of Applied and Life Sciences, Uttaranchal University, Dehradun, Uttarakhand, India., Al-Qaim ZH; Department of Anesthesia Techniques, Al-Mustaqbal University College, 51001 Hilla, Babylon, Iraq., Barboza JJ; Escuela de Medicina, Universidad César Vallejo, Trujillo 13007, Peru. Electronic address: jbarbozame@ucvvirtual.edu.pe., Waheed Y; Office of Research, Innovation, and Commercialization (ORIC), Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad 44000, Pakistan; Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos 1401, Lebanon., Harapan H; Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia; Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia; Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia; Tsunami and Disaster Mitigation Research Center (TDMRC), Universitas Syiah Kuala, Banda Aceh 23111, Indonesia., Sah R; Department of Clinical Microbiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu 44600, Nepal; Department of Clinical Microbiology, Dr.D.Y Patil Medical College, Hospital and Research Centre, D.Y Patil Vidyapeeth, Pune 411000, India; Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune 411018, Maharashtra, India. Electronic address: ranjitsah57@gmail.com.
Jazyk: angličtina
Zdroj: Journal of infection and public health [J Infect Public Health] 2023 Nov; Vol. 16 (11), pp. 1761-1768. Date of Electronic Publication: 2023 Aug 14.
DOI: 10.1016/j.jiph.2023.08.005
Abstrakt: Background: Dengue fever is a zoonotic viral infection that raises a global alarm in the tropics and subtropics, with the potentially escalating into newer geographical regions. Severe dengue may be associated with fatal complications such as myocarditis. There is a paucity of available data on the prevalence of dengue-associated myocarditis. The objective of this systematic review and meta-analysis was to estimate the global prevalence of dengue-associated myocarditis.
Methods: A systematic search was conducted utilizing the Cochrane library, PubMed, Scopus, ProQuest, Web of Science, and Preprint servers such as arXiv, medRxiv, bioRxiv, BioRN, ChiRN, ChiRxiv, and SSRN as of November 25, 2022. All primary studies (case series, cross-sectional, retrospective, and prospective) that reported confirmed cases of dengue myocarditis were included. The I 2 statistic test assessed the heterogenic characteristics and publication bias was evaluated using Doi plot and Egger regression tests.
Results: A total of 12 studies conducted between 2007 and 2022 with 2795 laboratory-confirmed dengue patients were included. Of the included cases, 502 were positive for myocarditis, with a prevalence of 2.4-78%. The pooled prevalence of dengue-induced myocarditis in the studied population was 21.0% (95% CI, 9 - 38%). The prediction interval was estimated to be 0.00 - 0.81.
Conclusion: Myocarditis in dengue patients is a significant and understudied complication in many aspects. To prevent dengue-associated myocarditis, appropriate measures such as early detection of cases and signs, symptoms-based diagnosis via electrocardiography and echocardiography, as well as relevant vector control policies must be implemented.
Competing Interests: Declaration of Competing Interest The authors have no conflict of interest in the publication of the manuscript.
(Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE