Unilateral massive hemothorax in Dengue hemorrhagic fever: a unique presentation
Asian Pacific Journal of Tropical Medicine
;
(12): 753-754, 2012.
Article
in English
| WPRIM
| ID: wpr-819613
ABSTRACT
Dengue hemorrhagic fever is a more serious form of disease characterised by plasma leakage syndrome, thrombocytopenia and disseminated intravascular coagulation. We present a 51 year old male who presented with fever, petechiae and acute onset of breathlessness. Emergency chest rhoentogram showed a massive right sided pleural effusion. On insertion of intercostal drain, there was a sudden gush of blood tinged fluid suggestive of hemothorax. There was no history of trauma or bleeding tendencies. Laboratory investigations revealed a raised hematocrit and severe thrombocytopenia. Dengue IgM was surprisingly positive. After aggressive supportive management the patient gradually improved and was discharged. While bilateral pleural effusion is a known occurrence in dengue hemorrhagic fever, massive hemothorax is unheard of. We report the first case in literature of dengue hemorrhagic fever presenting as unilateral massive hemothorax. A suspicion of dengue must also be borne in mind in cases of non-traumatic hemothorax especially in endemic areas.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Virology
/
Drainage
/
Severe Dengue
/
Dyspnea
/
Fever
/
Hemothorax
Limits:
Humans
/
Male
Language:
English
Journal:
Asian Pacific Journal of Tropical Medicine
Year:
2012
Type:
Article
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