Case report: An atypical dengue rash involving the soles

Tan, Boon Hian; Stacey, Simon

doi:10.1177/2010105820941876

Proceedings of Singapore Healthcare

2020

DOI: 10.1177/2010105820941876

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Case report: An atypical dengue rash involving the soles

Boon Hian Tan

Simon Stacey

Abstract: The cutaneous manifestation of dengue is a maculopapular blanchable erythema over the body that spares the palms and the soles. We report a case of serologically proven, uncomplicated dengue fever in a lady who developed macular morbilliform erythema with islands of sparing over the plantar regions of the bilateral soles on day 8 of disease. This phenomenon has not yet been reported in dengue literature.

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2024

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A War of D’s: DRESS or Dengue?

Dahra,

Kaur,

Cheema

et al. 2024

Apollo Medicine

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Background: Dengue fever can present with symptoms that mimic drug-related reactions, especially in patients with complex medical histories, such as those with bipolar disorder on multiple medications. Case details: We report a 62-year-old female with a known history of bipolar disorder who was admitted with altered mental status, vomiting, and a rash. Given her psychiatric treatment, there was an initial concern for a drug-related reaction. Investigations: Through investigation was conducted. Results revealed a positive serology for dengue fever, alongside leukopenia and thrombocytopenia. Discussion: This case highlights the diagnostic challenge of differentiating between adverse drug reactions and infectious diseases like dengue in patients on multiple medications. Conclusion: Clinicians must maintain a high index of suspicion for tropical diseases like dengue, particularly in patients with complex comorbidities. This case underscores the importance of comprehensive evaluations in emergency settings and the need for a broad differential diagnosis approach.

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A War of D’s: DRESS or Dengue?

Dahra,

Kaur,

Cheema

et al. 2024

Apollo Medicine

View full text Add to dashboard Cite

show abstract

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Case report: An atypical dengue rash involving the soles

Cited by 1 publication

References 10 publications

A War of D’s: DRESS or Dengue?

A War of D’s: DRESS or Dengue?

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