| CASE REPORT |
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| Year : 2022 | Volume
: 15
| Issue : 4 | Page : 179-182 |
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Diffuse alveolar hemorrhage complicating dengue haemorrhagic fever in a 15-year-old boy: A case report
Prashant Gopal, Chaudhary Niraliben Hareshkumar, N.S.S. Saranya, Pradnya Diggikar
Department of General Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, India
Correspondence Address:
Pradnya Diggikar
Department of General Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune
India
 Source of Support: The authors received no extramural funding for the study, Conflict of Interest: None
DOI: 10.4103/1995-7645.340570
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Rationale: Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos. It can cause life threatening complications, including dengue haemorrhagic fever (DHF) and dengue shock syndrome.
Patient concerns: A 15-year-old male presented with fever and petechiae and later developed hemoptysis.
Diagnosis: Dengue fever with DHF with diffuse alveolar hemorrhage.
Interventions: Invasive ventilation with high positive end expiratory pressure, multiple transfusions of packed red blood cells, fresh frozen plasma, single donor platelets and inotropic support
Outcomes: The patient was stabilized and discharged on minimal supplemental oxygen.
Lessons: Diffuse alveolar hemorrhage, although very rare, should be considered in a patient with dengue who presents with hemoptysis. The treatment is directed at providing respiratory and circulatory support, and preventing the progression of microcirculation damage. |
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