a case of brugada syndrome unmasked by a postoperative febrile state

abstract background: brugada syndrome (bs) is an inherited ion channelopathy characterized by an electrocardiographic (ecg) pattern of a coved type st segment elevation in right precordial leads with or without right bundle branch block. case presentation: a 23-year old male presented with right lower quadrant abdominal pain. further evaluation revealed a diagnosis of acute appendicitis. the patient developed a febrile episode on second post-operative day of laparoscopic appendectomy. ecg revealed features consistent with bs. prompt control of temperature in the patient resolved the st-segment elevation and prevented potentially life-threatening arrhythmias. conclusion: febrile episodes in susceptible patients may unmask a concealed bs. prompt control of temperature is advocated to reduce the risk of life-threatening arrythmias