Pleuropulmonary Complication of Dengue: A case report with review of Literature
Pleuropulmonary Complication of Dengue
DOI:
https://doi.org/10.70284/njirm.v9i6.2465Keywords:
Pleuro-Pulmonary complications, Dengue Shock Syndrome , Dengue Hemorrhagic Fever, Pleural EffusionAbstract
Dengue is a febrile illness, disease of tropical areas, commonly encountered in India. Most of the infections are asymptomatic. The course of dengue infection varies from individual to individual and even in the same individual from time to time.The patient of dengue fever can present with a wide range of clinical manifestations from mild fever to life threatening Dengue Shock Syndrome (DSS) and severe Dengue Hemorrhagic Fever (DHF). Pleuro- Pulmonary complications involve parenchymal infiltration, pleural effusion (small, moderate, massive), pneumonitis, non-cardiogenic pulmonary oedema, hemorrhage-hemoptysis, acute respiratory failure. We report a case of 55 year old male who developed bilateral pleural effusion & pedal oedema and presented to us in acute respiratory failure , semiconscious and shock which was consistent with the diagnosis of Dengue Shock Syndrome.[Gautam A Natl J Integr Res Med, 2018; 9(6):68-71]
References
3. Wiwanitkit V. Magnitude and pattern of pulmonary pathology in fatal cases of dengue hemorrhagic fever in Thailand. Int J Tuberc Lung Dis 2005; 9(9):1060.
4. Guzmán MG, Alvarez M, RodrÃguez R, Rosario D, Vázquez S, Vald s L, Cabrera MV, Kourà G. Fatal dengue hemorrhagic fever in Cuba, 1997. Int J Infect Dis 1999; 3(3):130-5Wills BA, Oragui EE, Dung NM, Loan HT, Chau NV, Farrar JJ, et al. Size and charge characteristics of the protein leak in dengue shock syndrome. J Infect Dis. 2004;190:810–18. 5. Wang CC, Liu SF, Liao SC, Lee IK, Liu JW, Lin AS, et al. Acute respiratory failure in adult patients with dengue virus infection. Am J Trop Med Hyg. 2007;77:151–8
6. Yeolekar ME, Trivedi TH. Febrile encephalopathy: Challenges in management J Assoc Phys India. 2006;54:845.
7. Nazish B, Amanullah A, Munir SM, Ahmad SM, Hussain QS. Hematological and biochemical indicators for the early diagnosis of dengue viral infection. J Coll Phys Surg Pak 2008;5:282-5 8. Kuo CH, Tai DI, Chang-Chien CS, Lan CK, Chiou SS, Liaw YF. Liver biochemical tests and dengue fever.Am J Trop Med Hyg. 1992;47:265–70.
9. Chin CW. Chest radiographic presentation in patients with dengue hemorrhagic fever; Am J Trop Med Hyg 2007;77:291-6. 10. Srikiatkhachorn A, Krautrachue A, Ratanaprakarn W, Wongtapradit L, Nithipanya N, Kalayanarooj S, et al. Natural history of plasma leakage in dengue hemorrhagic fever: a serial ultrasonographic study. Pediatr Infect Dis J. 2007;26:283–90. 11. Kularatne SA, Gawarammana IB, Kumarasiri PR. Epidemiology, clinical features, laboratory investigations and early diagnosis of dengue fever in adults: a descriptive study in Sri Lanka. Southeast Asian J Trop Med Public Health. 2005;36:686–92. 12. Nimmannitya S, Thisyakorn U, Hemsrichart V. Dengue haemorrhagic fever with unusual manifestations.Southeast Asian J Trop Med Public Health. 1987;18:398–406.
