Dengue Shock Syndrome: An Experience from a Tertiary Level Hospital in Mumbai
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Dengue shock syndrome (DSS), the most common life-threatening complication of acute dengue, occurs when excessive capillary leakage precipitates circulatory dysfunction or collapse. In this report we present a case dengue who was later diagnosed as shock syndrome. Case report: 40 year old male presented with complaints of fever with chills and generalized bodyache since three days, and vomitting since two days. The patient started noticing petechia two days after the onset of fever. On examination, petechiae were present over both the arms and vitals were within normal limits. Systemic examination revealed soft palpable spleen, shifting dullness which was suggestive of ascites. Routine hematological investigations revealed platelet count of 8000 at the time of presentation and high liver enzymes. Only dengue viral antigen test was positive in the virology panel. The diagnosis of dengue shock syndrome was made. The patient was started on injectable artesunate, ceftraixone, antiemetic, antacid and platelets were transfused. The patient showed signs of improvement from the second day and his platelet improved to 68,000 on the fourth day. Conclusion: Dengue virus infection is associated with signifiacnt morbidity and mortality. Large prospective studies are required to understand, characterise the extend and mechanisms of DSS.
Authors and Affiliations
Sahil N. Fulara, Nasir Y. Fulara
Keywords
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