Unforeseen complications: a case of dengue shock syndrome presenting with multi-organ dysfunction in a subtropical region

Tropical Medicine and Health

Case Report

Khalid Rashid¹  Muhammad Saqib²  Hassan Mumtaz³  Khatira Wahid⁴  Syed Muhammad Owais⁴  Farrukh Ansar⁵ 

[1]James Cook University Hospital, Middlesbrough, UK

[2]University of Sunderland, Sunderland, England, UK

[3]Khyber Medical College, Peshawar, Pakistan

[4]Maroof International Hospital, Islamabad, Pakistan

[5]Health Services Academy, Islamabad, Pakistan

[6]Northwest General Hospital & Research Centre, Peshawar, Pakistan

[7]Quaid e Azam International Hospital, Rawalpindi, Pakistan

关键词: Severe dengue;    Tropical climates;    Breast feeding;    Postpartum sepsis;    Pakistan;    Neurological manifestations;    Myocarditis;    Acute renal failure;    Acute liver failure;    Case reports;   

DOI  :  10.1186/s41182-023-00530-y

 received in 2023-05-08, accepted in 2023-07-11,  发布年份 2023

来源: Springer

【 摘 要 】

OverviewDengue fever, a viral illness transmitted by the Aedes mosquito, is capable of causing a range of serious complications, including fulminant hepatic failure, renal dysfunction, encephalitis, encephalopathy, neuromuscular and ophthalmic disorders, seizures, and cardiomyopathy.Case descriptionThis report details the case of a 30-year-old lactating woman with no notable medical history who presented to the emergency department with symptoms of high-grade fever, altered mental status, and seizures. Upon imaging, bilateral infarcts in the thalami and cerebellar hemispheres were observed, consistent with cerebellitis and dengue encephalitis.Patient treatment and outcomeThe patient was admitted to the intensive care unit and received appropriate treatment. Following a critical phase and successful patient stabilization, she was transferred to a high dependency unit for a week before being discharged with recommendations for follow-up care.ConclusionThis case illustrates the broad spectrum of complications that can arise as a result of dengue infection and the importance of timely diagnosis and management in improving patient outcomes. Further investigation is required to better understand the mechanisms underlying these complications and to formulate specific guidelines for the prevention and treatment of dengue shock syndrome.

【 授权许可】

CC BY   
© The Author(s) 2023

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