Clinical Profile of Atypical Manifestations of Dengue Fever: Correspondence

Autor: Viroj Wiwanitkit, Beuy Joob
Rok vydání: 2016
Předmět:
Zdroj: The Indian Journal of Pediatrics. 83:1210-1210
ISSN: 0973-7693
0019-5456
DOI: 10.1007/s12098-016-2074-6
Popis: To the Editor: The recent report on atypical dengue by Pothapregada et al. is very interesting [1]. Pothapregada et al. concluded that Bthe atypical manifestations of dengue fever are no more a rare entity [1]^ and Bimpaired consciousness is the most ominous atypical manifestation of severe dengue infection [1]^. We would like to share experience and idea on this topic. First, dengue can have a wide clinical spectrum including atypical presentation [2]. Not only bleeding presentations, but also other non-bleeding presentations can be seen [3]. Nevertheless, the classical finding of decreased platelets and atypical lymphocytosis is still the hallmark laboratory presentation [2]. It should also be noted that a usually forgotten presentation is afebr i le i l lness , which has not been included by Pothapregada et al. in their retrospective review of hospitalized cases. In our experience, up to 44 % of dengue cases diagnosed in OPD have no fever [4]. Finally, it should also be noted that concurrent infection or medical disorder with dengue is possible and this might be the cause of atypical presentation observed in dengue patients [2].
Databáze: OpenAIRE