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[Electrocardiographic pattern of Brugada syndrome during fever and podagra].

We report the case of a 42-year-old man from Madagascar who, having fever and pain in his left big toe, underwent electrocardiography, which showed the pattern of Brugada syndrome. These peculiar electrocardiographic abnormalities in Brugada syndrome warrant caution for physicians working in the emergency room because they may be mistaken as signs of acute myocardial infarction or acute pericarditis. In this case report the typical electrocardiographic abnormalities, their variability, the effects of fever, and the role of electrode position are discussed.