Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 5

A Fatal Clinical Case of Expanded Dengue Syndrome; Fortunately Saved

Tasmina Chowdhury1, Imran Sikder2, Sabira Haque Biva3 and Quazi Tarikul Islam4*

1Assistant Professor of Medicine, Popular Medical College and Hospital, Dhaka, Bangladesh
2Assistant, Registrar of Medicine, Popular Medical College and Hospital, Dhaka, Bangladesh
3Intern Doctor, Popular Medical College and Hospital, Dhaka, Bangladesh
4Professor of Medicine, Popular Medical College Hospital, Dhaka, Bangladesh

*Corresponding Author: Quazi Tarikul Islam, Professor of Medicine, Popular Medical College Hospital, Dhaka, Bangladesh.

Received: April 12, 2023; Published: April 21, 2023

Abstract

Dengue fever is still evolving to clinicians with changing and more challenging clinical and biochemical pattern even after more than two decades of epidemic. Most of cases being secondary infection showing increasing tendency to develop unusual and more severe form of disease. This case report is on a middle aged man who developed severe dengue in the form of Expanded Dengue Syndrome (EDS). Despite having severe Dengue hypovolemia was not a prominent feature. Along with broad spectrum of organ involvement he developed some very unusual features like Pneumonia, Hemophagocytic Lymphohistiocytosis (HLH), and most strikingly Haemolytic anaemia. Though Coombs test became negative, hemolysis was unexplainable other than autoimmune process. He was managed with broad spectrum antibiotics, methylprednisolone, transfusion of apheretic platelet, FFP and packed red blood cell. Prompt recognition and management saved the life of the patient.

Keywords: Expanded Dengue Syndrome (EDS); Hemophagocytic Lymphohistiocytosis (HLH); Haemolytic Anaemia

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Citation: Quazi Tarikul Islam., et al. “A Fatal Clinical Case of Expanded Dengue Syndrome; Fortunately Saved". Acta Scientific Clinical Case Reports 4.5 (2023): 11-17.

Copyright: © 2023 Quazi Tarikul Islam., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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