Brugada phenocopy in a patient diagnosed with acute lymphangitis

Authors

Keywords:

acute myocardial infarction, Lymphangitis, Brugada phenocopy

Abstract

Introduction: Brugada phenocopy is the electrocardiographic expression of several diseases and is characterized by an electrocardiographic pattern indistinguishable from Brugada syndrome.

Objective: To describe the clinical course of a patient treated for an acute myocardial infarction who was found to have Brugada phenocopy caused by acute lymphangitis.

Clinical case: A 58-year-old diabetic male patient presented with clinical and electrocardiographic signs suggestive of acute myocardial infarction. He underwent reperfusion with recombinant streptokinase. Despite symptom relief, the electrocardiographic pattern persisted. During his clinical course, lymphangitis in the right leg was diagnosed and treated with antibiotics. Brugada phenotype caused by the acute infection was suspected. This was subsequently confirmed by clinical and electrocardiographic progress, coronary angiography, and cardiac magnetic resonance imaging.

Conclusions: Acute lymphangitis may cause an electrocardiographic pattern suggestive of Brugada syndrome, lead to misinterpretation as an acute myocardial infarction, and inappropriate treatment.

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Published

2025-11-17

How to Cite

1.
Delgado Heguy MA, Ravelo Dopico R, Alba Sánchez del Campo Y, Pérez Barreda A, Cárdenas Fernández Y, Medina Rivero G. Brugada phenocopy in a patient diagnosed with acute lymphangitis. Rev. cuba. med. mil [Internet]. 2025 Nov. 17 [cited 2025 Nov. 17];54(4):e025076882. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/76882

Issue

Vol. 54 No. 4 (2025): October - December (In Progress)

Section

Case Presentation

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Copyright (c) 2025 Miguel Angel Delgado Heguy, Roger Ravelo Dopico, Yonny Alba Sánchez del Campo, Aylén Pérez Barreda, Yoanis Cárdenas Fernández, Gerardo Medina Rivero

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