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{
    "pk": 828,
    "title": "Fever Unmasked Brugada Syndrome in Pediatric Patient:  A Case Report",
    "subtitle": null,
    "abstract": "Introduction: Brugada 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.\nCase Report: This 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.\nDiscussion: Fever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels.\nConclusion: Febrile 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.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Brugada"
        },
        {
            "word": "pediatric"
        },
        {
            "word": "viral illness"
        },
        {
            "word": "arrhythmias"
        },
        {
            "word": "fever"
        }
    ],
    "section": "ACOEP Case Reports (Invitation Only)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9d43f8v9",
    "frozenauthors": [
        {
            "first_name": "Orhay",
            "middle_name": "",
            "last_name": "Mirzapolos",
            "name_suffix": "",
            "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois",
            "department": "None"
        },
        {
            "first_name": "Perry",
            "middle_name": "",
            "last_name": "Marshall",
            "name_suffix": "",
            "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois",
            "department": "None"
        },
        {
            "first_name": "April",
            "middle_name": "",
            "last_name": "Brill",
            "name_suffix": "",
            "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2020-04-24T00:56:10+02:00",
    "date_accepted": "2020-04-24T00:56:10+02:00",
    "date_published": "2020-04-24T00:57:11+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/828/galley/581/download/"
        }
    ]
}