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一名年轻女性因登革出血热导致产后出血和噬血细胞性淋巴组织细胞增生症:病例报告

Dengue Hemorrhagic Fever Causing Postpartum Hemorrhage and Hemophagocytic Lymphohistiocytosis in a Young Woman: A Case Report.

作者信息

Mayurathan Pakkiyaretnam

机构信息

University Medical Unit, Teaching Hospital Batticaloa, Batticaloa, LKA.

Department of Clinical Sciences, Faculty of Health-Care Sciences, Eastern University of Sri Lanka, Batticaloa, LKA.

出版信息

Cureus. 2024 Feb 8;16(2):e53841. doi: 10.7759/cureus.53841. eCollection 2024 Feb.

Abstract

Dengue viral infection can present as a spectrum of disorders ranging from uncomplicated fever to dengue shock syndrome. Dengue fever during pregnancy or delivery is associated with serious complications during pregnancy, especially severe postpartum hemorrhage (PPH) following delivery. Dengue is an uncommon and highly fatal cause of secondary hemophagocytic lymphohistiocytosis (HLH). Both PPH and HLH in a pregnant woman lead to unfavorable outcomes even with appropriate treatment. Here, we report the case of a 28-year-old woman who presented with PPH and HLH following dengue hemorrhagic fever and completely recovered with appropriate treatment.

摘要

登革病毒感染可表现为一系列病症,从无并发症的发热到登革休克综合征。孕期或分娩时的登革热与孕期严重并发症相关,尤其是分娩后严重产后出血(PPH)。登革热是继发性噬血细胞性淋巴组织细胞增生症(HLH)的罕见且高度致命病因。即使经过适当治疗,孕妇的产后出血和HLH都会导致不良后果。在此,我们报告一例28岁女性病例,该患者在登革出血热后出现产后出血和HLH,并经适当治疗后完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b66/10924438/d932e0ef2290/cureus-0016-00000053841-i01.jpg

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