Hafiz Waleed, Alotaibi Faisal, Alneefia Raghad, Alghuraibi Elaf, Basha Ahmed Abdulaziz, Warsi Ashraf
Internal Medicine • Rheumatology, Umm Al-Qura University, Mecca, SAU.
Medicine, Al Noor Specialist Hospital, Mecca, SAU.
Cureus. 2021 Aug 10;13(8):e17072. doi: 10.7759/cureus.17072. eCollection 2021 Aug.
Haematological and vascular features of dengue virus infection are common and vary from tiny skin haemorrhages to significant bleeding such as epistaxis, gastrointestinal bleeding and hematuria. Spontaneous splenic rupture has also been reported as an atypical manifestation in dengue fever. We report a case of splenic infarction in a 35-year-old man who presented with fever, vomiting, diffuse abdominal pain and distention, diarrhoea, hematuria, headache, back pain, hypotension, pleural effusion and ascites. Laboratory evaluation confirmed the diagnosis of dengue hemorrhagic fever, and abdominal imaging revealed splenic infarction. He required intensive care, responded well to inotropic support and remarkably improved.
登革病毒感染的血液学和血管特征很常见，表现各异，从微小的皮肤出血到严重出血，如鼻出血、胃肠道出血和血尿。自发性脾破裂也被报道为登革热的一种非典型表现。我们报告一例35岁男性脾梗死病例，该患者出现发热、呕吐、弥漫性腹痛和腹胀、腹泻、血尿、头痛、背痛、低血压、胸腔积液和腹水。实验室检查确诊为登革出血热，腹部影像学检查显示脾梗死。他需要重症监护，对血管活性药物支持反应良好，病情显著改善。
