Perinatal transmission of dengue: a case report

BMC Research Notes

Gathsaurie Neelika Malavige¹  Rajeev Sathananthan²  Vindika Prasad Sinhabahu² 

[1] Department of Microbiology, Faculty of Medical Sciences, University of Sri Jayawardanapura, Nugegoda, Sri Lanka;Special Care Baby Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka

关键词: Vertical transmission;    Perinatal dengue;    Maternal dengue;   

Others  :  1125646
DOI  :  10.1186/1756-0500-7-795

 received in 2014-07-09, accepted in 2014-10-23,  发布年份 2014

【 摘 要 】

Background

Dengue in pregnancy is associated with many maternal and foetal outcomes including perinatal transmission of dengue infection.

Case presentation

A baby was born by emergency caesarean section due to foetal distress and meconium stained liquor, to a 27-year old primi-gravidae, Sinhalese female, who was febrile during and 2 days prior to labour. The baby had evidence of respiratory distress due to meconium aspiration and was cared for in the special care baby unit for 3 days. On the 4^th day he developed fever and serial blood counts showed a gradual rise in the haematocrit (>20% of baseline value) and lowering of platelet counts. The baby was treated for sepsis and as Sri Lanka was experiencing a massive dengue epidemic was also tested for dengue. His dengue NS1 antigen test was strongly positive and the dengue IgM antibodies weakly positive on day 3 of illness. The mother was positive for both dengue IgM and IgG antibodies.

Conclusion

Although rare, vertical transmission of the dengue virus has been reported and the baby most likely developed dengue due to perinatal transmission of dengue.

【 授权许可】

   
2014 Sinhabahu et al.; licensee BioMed Central Ltd.

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