Bani Hani Hasan, Ibrahim Sara, Esmail Mayar, Waleed Shamsa, Gouher Saria
Internal Medicine, University Of Sharjah, Sharjah, ARE.
Pediatrics, American Hospital Dubai, Dubai, ARE.
Cureus. 2024 Nov 13;16(11):e73608. doi: 10.7759/cureus.73608. eCollection 2024 Nov.
Dengue fever, a mosquito-borne viral disease, was the most prevalent arthropod-borne illness globally and posed a significant public health challenge due to its increasing incidence and potential complications. While most patients recovered within one to two weeks, some cases progressed to severe dengue, requiring hospitalization. This case report described a 39-year-old pregnant woman at 27 weeks gestation who developed severe dengue fever complicated by bacterial pneumonia, leading to ICU admission. She initially presented with fever, tachycardia, and vomiting, and her diagnosis was confirmed by polymerase chain reaction (PCR). Due to worsening respiratory symptoms, she was treated with oxygen and antibiotics, which stabilized her condition for discharge. This case underscored the need for vigilance in managing dengue during pregnancy, as secondary bacterial infections, though uncommon, could complicate treatment. Prompt recognition and early antibiotic intervention in high-risk patients were crucial for improving outcomes.
登革热是一种由蚊子传播的病毒性疾病，是全球最普遍的节肢动物传播疾病，由于其发病率不断上升和潜在并发症，对公共卫生构成了重大挑战。虽然大多数患者在一到两周内康复，但有些病例会发展为重症登革热，需要住院治疗。本病例报告描述了一名妊娠27周的39岁孕妇，她患上了重症登革热并伴有细菌性肺炎，导致入住重症监护病房。她最初表现为发热、心动过速和呕吐，通过聚合酶链反应（PCR）确诊。由于呼吸道症状恶化，她接受了氧气和抗生素治疗，病情稳定后出院。该病例强调了孕期管理登革热时保持警惕的必要性，因为继发性细菌感染虽然不常见，但可能使治疗复杂化。对高危患者的及时识别和早期抗生素干预对于改善预后至关重要。
