Wheaton Noah R, Lee Davon T, Zinabu Samrawit W, Sims Courtui, Richards Syneja, Ray Jessica, Atalay Betelehem, Mohammed Ahmad, Michael Miriam B
Internal Medicine, Howard University Hospital, Washington, DC, USA.
Internal Medicine, University of Maryland, Baltimore, USA.
Cureus. 2024 Oct 23;16(10):e72234. doi: 10.7759/cureus.72234. eCollection 2024 Oct.
Dengue fever is a rapidly spreading mosquito-borne viral disease, increasingly endemic in tropical and subtropical regions. This case report details the clinical presentation of a 52-year-old male who developed severe symptoms shortly after returning from a two-week trip to El Salvador, an area known for dengue endemicity. The patient presented with a five-day history of high-grade fever, malaise, diarrhea, dizziness, and intermittent blurry vision, accompanied by chills, dry cough, headaches, and generalized pain. Physical examination revealed petechiae on the lower extremities, and the Rumpel-Leede test was positive, indicating capillary fragility and suggesting thrombocytopenia consistent with dengue infection. Supportive care, including antipyretics, hydration, and electrolyte management, resolved symptoms by day four, allowing the patient to be discharged. This case underscores the importance of considering dengue in patients with relevant travel history and highlights the increasing global reach of this vector-borne disease.
登革热是一种迅速传播的蚊媒病毒性疾病，在热带和亚热带地区日益流行。本病例报告详细描述了一名52岁男性的临床表现，该男性在从萨尔瓦多为期两周的旅行归来后不久出现了严重症状，萨尔瓦多是一个登革热流行地区。患者有五天的高热、不适、腹泻、头晕和间歇性视力模糊病史，伴有寒战、干咳、头痛和全身疼痛。体格检查发现下肢有瘀点，束臂试验呈阳性，表明毛细血管脆性增加，提示血小板减少与登革热感染相符。通过使用退烧药、补液和电解质管理等支持性护理措施，症状在第四天得到缓解，患者得以出院。该病例强调了对于有相关旅行史的患者考虑登革热的重要性，并突出了这种媒介传播疾病在全球范围内的传播范围不断扩大。
