Phupong Vorapong
Department of Obstetrics & Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand.
BMC Pregnancy Childbirth. 2001;1(1):7. doi: 10.1186/1471-2393-1-7.
Dengue, a mosquito-borne flavivirus infection, is endemic in Southeast Asia. Currently, the incidence has been increasing among adults. CASE PRESENTATION: A 26-year-old Thai woman, G1P0 31 weeks pregnancy, presented with epigastric pain for 1 day. She also had a high-grade fever for 4 days. The physical examination, complete blood counts as well as serology confirmed dengue fever. The patient was under conservative treatment despite severe thrombocytopenia. She was well at the 3rd day of discharge and 1-week follow-up. The pregnancy continued until term without any complication and she delivered vaginally a healthy female baby. CONCLUSIONS: More cases of dengue infection in pregnancy can be found due to the increasing incidence during adulthood. It should be suspected when a pregnant woman presents with symptoms and signs like in a non-pregnant. Conservative treatment should be conducted unless there are any complications.
登革热是一种由蚊子传播的黄病毒感染，在东南亚地区流行。目前，成人中的发病率一直在上升。病例报告：一名26岁的泰国女性，孕1产0，妊娠31周，出现上腹部疼痛1天。她还持续高热4天。体格检查、全血细胞计数以及血清学检查确诊为登革热。尽管患者血小板严重减少，但仍接受保守治疗。出院第3天及1周随访时情况良好。妊娠持续至足月，无任何并发症，经阴道分娩一名健康女婴。结论：由于成人发病率上升，孕期登革热感染病例可能会增多。当孕妇出现与非孕妇相似的症状和体征时应怀疑此病。除非有并发症，否则应进行保守治疗。
