Title: An Unusual Complication of Dengue Fever
Authors: Dr V. Channaraya, Dr Yogitha C, Dr Mahesh Desai
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.85
Abstract
Minor bleeding manifestations like petechial rashes, gum bleeding, sub conjunctival hemorrhage are common in dengue fever. But severe hemorrhagic manifestations like hemoperitonium, hemothorax is rare. Here we present a case of 36 year old male who came with fever and headache. Dengue serology showed positive for NS1Ag, who later developed severe pain abdomen and distention of abdomen with severe pallor. Haemoglobin had dropped from 16g% to 4g% and usg abdomen showed gross ascites which was absent at the time of admission, thus contrast enhanced computed tomography(CECT) abdomen was done which showed hemoperitonium. India being endemic for dengue fever, this is an interesting and uncommon presentation.
Key words: dengue, hemoperitoneum, ultrasound.
References
1. Dr.Shekar Chakraborthy, Dr.Jyotirmoy Pal, Dr.Bibhuti Saha- Monograph On Dengue, 2016 ; Api Publication
2. Who. Dengue-Guidelines For Diagnosis, Treatment, Presentation And Control. Geneva- World Health Organisation, 2009.
3. Shivabalan So, Anadnathan K, Balasubramanian S, Datta M, Amalraj E. Predictors Of Spontaneous Bleeding In Dengue. Indian J Pediatr. 2004;71: 33–6.
4. Miranda Le, Miranda Sj, Rolland M. Case Report: Spontaneous Rupture Of The Spleen Due To Dengue Fever.Braz J Infect Dis. 2003; 7: 423–5.
5. Suman S Karanth, Anurag Gupta, Mukhy-aprana Prabhu: Asian Pacific Journal Of Tropical Medicine (2012)753-754.
6. Nagesh Kumar Talakad Chandrash-ekar, Rashmi Krishnappa, Chandra Sekara Reddy, And Arun Narayan: J Glob Infect Dis. 2013 Jan-Mar; 5(1): 29–30.