A rare case of dengue hemorrhagic fever in the postoperative period

A rare case of dengue hemorrhagic fever with myocarditis and intracranial hemorrhage

“…The current recommendation for platelet count before the neurosurgical intervention is 100,000/mm 3 , and those who fail to respond to platelet transfusion have a higher risk of postoperative intracranial hematoma formation. [ 6 ] The patient, in this case, had ICH with no bleeding manifestations from any other sites. Therefore, it is imperative on the part of treating physician to have a high index of suspicion for ICH in patients who are disoriented and have altered sensorium during convalescence phase and should not be misinterpreted as toxic encephalopathy or fever delirium.…”

“…Therefore, it is imperative on the part of treating physician to have a high index of suspicion for ICH in patients who are disoriented and have altered sensorium during convalescence phase and should not be misinterpreted as toxic encephalopathy or fever delirium. [ 6 ] Also, in view of patient’s continuously worsening condition, the decision to take up the patient for surgical decompression under cover of multiple blood product transfusions in the form of packed red cells, fresh frozen plasma, and platelet products may improve the outcome in such fatal complication. With this case report, we want to emphasize that the clinician should have a high index of suspicion for myocarditis, ICH, and coagulopathy in patient with DF.…”