Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Rare Case of Expanded Dengue, Evans Syndrome, Hellp Syndrome & Multiorgan Dysfunction


Affiliations
1 PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
     

   Subscribe/Renew Journal


Dengue virus infection is being recognised to manifest with various systemic impairments. WHO has coined ‘EXPANDED DENGUE’ to denote such complications and atypical presentations. Here we present a case of Dengue who presented with PUO, bleeding, pain abdomen, vomiting and itching. She was noted to have fever, tachycardia, anaemia, thrombocytopenia, deranged liver function, acute pancreatitis, urinary abnormalities, rhinorrhea and pruritus. Her hospitalisation period was a stormy one posing both diagnostic and therapeutic problem. While recovering she exhibited neutropenia suggesting concomitant Evans syndrome. The different haematological and biochemical parameters also mimic that of HELLP syndrome.
Subscription Login to verify subscription
User
Notifications
Font Size


Abstract Views: 331

PDF Views: 0




  • A Rare Case of Expanded Dengue, Evans Syndrome, Hellp Syndrome & Multiorgan Dysfunction

Abstract Views: 331  |  PDF Views: 0

Authors

N. K. Sundaray
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
Srikant Kumar Dhar
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
Chandan Das
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
P. K. Tudu
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
S. C. Das
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
Aujjwalya Kumar Jena
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
Gourab Arun
PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India

Abstract


Dengue virus infection is being recognised to manifest with various systemic impairments. WHO has coined ‘EXPANDED DENGUE’ to denote such complications and atypical presentations. Here we present a case of Dengue who presented with PUO, bleeding, pain abdomen, vomiting and itching. She was noted to have fever, tachycardia, anaemia, thrombocytopenia, deranged liver function, acute pancreatitis, urinary abnormalities, rhinorrhea and pruritus. Her hospitalisation period was a stormy one posing both diagnostic and therapeutic problem. While recovering she exhibited neutropenia suggesting concomitant Evans syndrome. The different haematological and biochemical parameters also mimic that of HELLP syndrome.


DOI: https://doi.org/10.37506/v10%2Fi12%2F2019%2Fijphrd%2F191932