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CASE REPORT
Year : 2022  |  Volume : 15  |  Issue : 4  |  Page : 179-182

Diffuse alveolar hemorrhage complicating dengue haemorrhagic fever in a 15-year-old boy: A case report


Department of General Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, India

Correspondence Address:
Pradnya Diggikar
Department of General Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune
India
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Source of Support: The authors received no extramural funding for the study, Conflict of Interest: None


DOI: 10.4103/1995-7645.340570

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Rationale: Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos. It can cause life threatening complications, including dengue haemorrhagic fever (DHF) and dengue shock syndrome. Patient concerns: A 15-year-old male presented with fever and petechiae and later developed hemoptysis. Diagnosis: Dengue fever with DHF with diffuse alveolar hemorrhage. Interventions: Invasive ventilation with high positive end expiratory pressure, multiple transfusions of packed red blood cells, fresh frozen plasma, single donor platelets and inotropic support Outcomes: The patient was stabilized and discharged on minimal supplemental oxygen. Lessons: Diffuse alveolar hemorrhage, although very rare, should be considered in a patient with dengue who presents with hemoptysis. The treatment is directed at providing respiratory and circulatory support, and preventing the progression of microcirculation damage.


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