Severe dengue fever: A case report
1 Lecturer, Department of Microbiology, Kathmandu School of Medical Technology, CTEVT, Ratopul, Kathmandu, Nepal.
2 Medical Laboratory Technologist, Department of Pathology, Vayodha Hospitals Pvt. Ltd., Balkhu, Kathmandu, Nepal.
3 Medical Laboratory Technologist, Department of Pathology, Lalupate Medical Center Pvt. Ltd., Gaushala, Kathmandu, Nepal.
4 Coordinator, Department of Medical Laboratory Technology, Kathmandu School of Medical Technology, CTEVT, Ratopul, Kathmandu, Nepal.
Case Study
GSC Advanced Research and Reviews, 2020, 03(03), 079-082.
Article DOI: 10.30574/gscarr.2020.3.3.0051
Publication history:
Received on 15 June 2020; revised on 23 June 2020; accepted on 25 June 2020
Abstract:
Dengue is a mosquito-borne viral infection with many clinically diverse spectrums of presentations. Although most of the cases are diagnosed clinically, even a simple full blood count (FBC) can assist to confirming this often deceiving infection, which allows the initiation of potentially lifesaving treatment. In this article, two cases of dengue are mentioned, one of which has a high hematocrit and hemoglobin value, which can lead to multiple organ failure and disseminated intravascular coagulation (DIC) and another one added with several atypical clinical manifestation. Thrombocytopenia and leukopenia with positive dengue-NS1 antigen were seen in both cases. Both cases were treated with supportive care and intravenous fluid to improve symptoms. With such complications, there is a need to further examine these cases further in detail.
Keywords:
Dengue fever; Capillary leakage; Hematocrit; Ascites
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
