Unprovoked hemothorax : an unusual presentation in Dengue Haemorrhagic Fever

Abstract

A B S T R A C TAccording to WHO, Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. Dengue Haemorrhagic fever (DHF) is a severe and more serious form of DF, characterised by fever, bleeding manifestations, plasma leakage and thrombocytopenia. This is a case of a 28 year old male, who presented with history of fever and myalgia and was diagnosed to have DF. He had developed acute onset dyspnoea and his chest X-Ray showed right sided pleural effusion. Pleurocentesis revealed haemorrhagic fluid in the absence of trauma.Unprovoked hemothorax as an initial presentation of DHF has rarely been reported.

Clotted hemothorax: An uncommon presentation of dengue fever

“…[ 4 ] In the third such case, an ICD was placed; however, the patient went into DIC and could not be revived due to poor hemodynamic state. [ 5 ]…”

Emphysematous pyelonephritis with Dengue hemorrhagic fever: A successful medical management of a fatal scenario

“…1 There have been reports DHF presenting with myocarditis, hepatitis, encephalopathy, glomerulonephritis and hemothorax. [10][11][12][13][14] CONCLUSION EPN is a rare and severe, acute necrotizing infection of the renal parenchyma and perinephric tissues with associated gas formation in the collecting system. The condition is managed with antibiotics and urological interventions like percutaneous drainage or nephrectomy.…”