Atypical Presentation of Severe Dengue in a Patient following a Major Abdominal Surgery
Joint Authors
Jayasinghe, Jayan
Jayarajah, Umesh
Basnayake, Oshan
Nagodavithane, Kavinda
Samarasekera, Dharmabandhu N.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Severe dengue infections in a postoperative patient may lead to significant derangement in the body’s homeostasis resulting in morbidity and sometimes even mortality.
Reports on presentation and clinical manifestations of dengue in patients following major surgical procedures are scarce and restricted to few case reports.
We describe a 26-year-old male with atypical presentation and late detection of dengue haemorrhagic fever following a major abdominal surgery.
On postoperative day 6, he developed spontaneous bleeding from the drain site and moderate-to-massive bilateral pleural effusion with respiratory distress.
His dengue IgM and IgG were positive.
Therefore, a diagnosis of dengue haemorrhagic fever with bilateral lower zone pneumonia was made.
A right-sided intercostal tube was inserted.
Intensive care was given and was managed with intravenous antibiotics, targeted fluid therapy, and supportive care.
He recovered from the infection and was discharged uneventfully.
This case is unique because during the postoperative period, he went into critical phase with significant fluid leakage and developed bleeding manifestations without a clear febrile phase and deterioration in the haemodynamic parameters.
High degree of suspicion and early detection are necessary to guide the fluid therapy and provide organ support in such patients.
American Psychological Association (APA)
Jayarajah, Umesh& Basnayake, Oshan& Nagodavithane, Kavinda& Jayasinghe, Jayan& Samarasekera, Dharmabandhu N.. 2020. Atypical Presentation of Severe Dengue in a Patient following a Major Abdominal Surgery. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148126
Modern Language Association (MLA)
Jayarajah, Umesh…[et al.]. Atypical Presentation of Severe Dengue in a Patient following a Major Abdominal Surgery. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148126
American Medical Association (AMA)
Jayarajah, Umesh& Basnayake, Oshan& Nagodavithane, Kavinda& Jayasinghe, Jayan& Samarasekera, Dharmabandhu N.. Atypical Presentation of Severe Dengue in a Patient following a Major Abdominal Surgery. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148126
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148126