Diagnosis of dengue fever in a patient with early pregnancy loss
| Autor: | Ernest Topran, Oluwatosin O. Adeyemo, Naomi N Adjei, Anna Y. Lynn |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Pediatrics
medicine.medical_specialty Early Pregnancy Loss Asymptomatic Miscarriage Dengue fever Dengue Pregnancy medicine Animals Humans Vaginal bleeding Pregnancy Complications Infectious Travel business.industry Infant Newborn General Medicine medicine.disease Rash Pancytopenia Abortion Spontaneous Premature Birth Female medicine.symptom business |
| Zdroj: | BMJ case reports. 14(8) |
| ISSN: | 1757-790X |
| Popis: | Dengue is a mosquito-borne virus that causes an influenza-like illness ranging in severity from asymptomatic to fatal. Dengue in pregnancy has been associated with adverse outcomes including miscarriage, preterm birth and fetal and neonatal death. We present the case of a multiparous woman who presented at 9 weeks’ gestation with vaginal bleeding and abdominal cramping after a 1 month stay in Mexico. She was initially diagnosed with miscarriage with plan for outpatient follow-up. She was readmitted 3 days later with fever, retro-orbital pain, arthralgia, rash, pancytopenia and transaminitis and managed with intravenous fluids and acetaminophen. Of note, dengue serology was initially negative but retesting 2 days later was positive. It is imperative that clinicians have heightened suspicion for dengue in pregnant women with history of travel to or residence in a dengue-endemic area and consistent clinical evidence. |
| Databáze: | OpenAIRE |
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