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VOLUME 19 , ISSUE 11 ( 2015 ) > List of Articles

CASE REPORT

Anticipated and unanticipated complications of severe dengue in a primigravida

Madiha Hashmi, Ghulam Zainab, Farah Khan

Keywords : Severe dengue, thrombocytopenia, blood transfusion, intensive care units, pregnancy

Citation Information : Hashmi M, Zainab G, Khan F. Anticipated and unanticipated complications of severe dengue in a primigravida. Indian J Crit Care Med 2015; 19 (11):678-680.

DOI: 10.4103/0972-5229.169353

License: CC BY-ND 3.0

Published Online: 00-11-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

As the incidence of dengue is rising among adults more cases of dengue fever are being reported during pregnancy. Physiological changes of pregnancy mask the pathognomonic features of severe dengue such as increased hematocrit, thrombocytopenia, and leukopenia and a high index of suspicion are required in endemic areas. Massive hemorrhage may complicate operative deliveries in unsuspected patients. World Health Organization recommends that all patients with severe dengue should be admitted to a hospital with access to intensive care facilities and blood transfusion. We present the successful management of hemorrhage and unanticipated complications of severe dengue in a young primigravida admitted to the Intensive Care Unit after an emergency cesarean section.


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