Khot Wasim, Gupta Nitin, Khatiwada Saurav, Goyal Alpesh, Das Rojaleen, Brijwal Megha, Choudhary Aashish, Nischal Neeraj, Dar Lalit, Biswas Ashutosh
Resident, Department of Medicine and Microbiology,AIIMS, New Delhi.
Resident, Department of Endocrinology,AIIMS, New Delhi.
J Assoc Physicians India. 2018 Aug;66(8):89-90.
A 50-year-old male presented to us with features of diabetic ketoacidosis which was managed with adequate hydration and insulin therapy. His routine laboratory investigation revealed transaminitis, acute kidney injury and pancytopenia. Further evaluation for hematological and biochemical derangements uncovered positive dengue test (NS1 antigen and polymerase chain reaction assay). Patient distinctively reported no history of fever and remained afebrile during the course of illness. We report this case to highlight the possibility of afebrile dengue in endemic areas.
一名50岁男性因糖尿病酮症酸中毒症状前来就诊，通过充分补液和胰岛素治疗进行了处理。他的常规实验室检查显示转氨酶升高、急性肾损伤和全血细胞减少。对血液学和生化紊乱的进一步评估发现登革热检测呈阳性（NS1抗原和聚合酶链反应检测）。患者明确报告无发热病史，且在病程中一直未发热。我们报告此病例以强调在流行地区无发热性登革热的可能性。
