Spontaneous muscle hematoma complicating dengue hemorrhagic fever: a case report

Abstract

Dengue is endemic in Bangladesh and is an emerging infection in many parts of the world. Its clinical manifestations are wide spectrum, may present as mild fever to shock. Muscle hematomas are rare complications in dengue hemorrhagic fever. We report a case of 21-year-old male with dengue hemorrhagic fever who developed right sided iliacus muscle hematoma. He presented with fever, progressive thrombocytopenia and evidence of plasma leakage. During the recovery phase, he developed severe pain in right hip during movement. Diagnosis was confirmed by pelvic computed-tomography scan and he was managed conservatively.

A Case of Spontaneous Calf Hematoma Complicating Dengue Hemorrhagic Fever: A Case Report

“…6 Other reported cases of intramuscular hematoma were involved the rectus sheath, psoas muscle, iliacus muscle, iliopsoas muscle, and oblique muscle of the abdomen. 7,8,9,10 The consequences of hematoma can be varied. They could be asymptomatic, could lead to shock, or may compress nerves leading to compression syndrome, and may be life threatening.…”