Dengue is the most important mosquito borne viral disease in the world. It is endemic in South and Southeast Asia, Central and Latin America, and Africa. One of its manifestations is dengue shock syndrome (DSS), a medical emergency with a very high mortality. Cardiac involvement is a known but infrequent feature of dengue. Cardiac dysfunction may complicate management of hypotension in DSS. We report a case of a 16-year-old male presenting with fulminant DSS as well as perimyocarditis that both confounded the clinical picture and complicated the clinical management.
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