Owais Syed Muhammad, Ansar Farrukh, Saqib Muhammad, Wahid Khatira, Rashid Khalid, Mumtaz Hassan
Northwest General Hospital & Research Centre, Peshawar, Pakistan.
Quaid e Azam International Hospital, Rawalpindi, Pakistan.
Trop Med Health. 2023 Jul 17;51(1):39. doi: 10.1186/s41182-023-00530-y.
Dengue fever, a viral illness transmitted by the Aedes mosquito, is capable of causing a range of serious complications, including fulminant hepatic failure, renal dysfunction, encephalitis, encephalopathy, neuromuscular and ophthalmic disorders, seizures, and cardiomyopathy.
This report details the case of a 30-year-old lactating woman with no notable medical history who presented to the emergency department with symptoms of high-grade fever, altered mental status, and seizures. Upon imaging, bilateral infarcts in the thalami and cerebellar hemispheres were observed, consistent with cerebellitis and dengue encephalitis.
The patient was admitted to the intensive care unit and received appropriate treatment. Following a critical phase and successful patient stabilization, she was transferred to a high dependency unit for a week before being discharged with recommendations for follow-up care.
This case illustrates the broad spectrum of complications that can arise as a result of dengue infection and the importance of timely diagnosis and management in improving patient outcomes. Further investigation is required to better understand the mechanisms underlying these complications and to formulate specific guidelines for the prevention and treatment of dengue shock syndrome.
登革热是一种由伊蚊传播的病毒性疾病，能够引发一系列严重并发症，包括暴发性肝衰竭、肾功能不全、脑炎、脑病、神经肌肉和眼科疾病、癫痫发作以及心肌病。
本报告详细介绍了一名30岁无显著病史的哺乳期妇女的病例，她因高热、精神状态改变和癫痫发作症状前往急诊科就诊。经影像学检查，发现丘脑和小脑半球双侧梗死，符合小脑炎和登革热脑炎表现。
患者被收入重症监护病房并接受了适当治疗。经过关键阶段且患者成功病情稳定后，她被转至高依赖病房一周，之后出院并获随访建议。
该病例说明了登革热感染可能引发的广泛并发症，以及及时诊断和管理对改善患者预后 的重要性。需要进一步研究以更好地了解这些并发症的潜在机制，并制定登革热休克综合征的预防和治疗具体指南。
