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A 50‐year‐old woman visited the emergency department with a high fever due to pneumonia. Incessant monomorphic ventricular tachycardia occurred and was terminated by intravenous lidocaine. Her  ECG  during sinus rhythm demonstrated  ST  segment elevation suggestive of Brugada syndrome ( BS ). An intensive examination could not detect any structural disease, and typical coved‐type  ST  elevation was unmasked by a pilsicainide injection leading to a diagnosis of  BS . An  ICD  was implanted for secondary prevention of ventricular arrhythmia. The patient has been free from any recurrences of arrhythmia for 3 years.

Development of monomorphic ventricular tachycardia in a patient with fever‐induced Brugada syndrome