American Journal of Epidemiology and Infectious Disease
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American Journal of Epidemiology and Infectious Disease. 2015, 3(5), 103-111
DOI: 10.12691/ajeid-3-5-3
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Multifaceted Presentations of Dengue Virus Infection and Its Management: A Case Series

Rafiq Shajahan1, , Puay Sheng Hwa1, Choe Yee Xian1, Naganathan Pillai1 and Ganesh Kasinathan2

1Department of Medicine, Monash University Malaysia Sunway Campus, Selangor, Malaysia

2Department of Medicine, Segamat Hospital, KM6 Jalan Genuang, Segamat, Johor, Malaysia

Pub. Date: December 02, 2015

Cite this paper:
Rafiq Shajahan, Puay Sheng Hwa, Choe Yee Xian, Naganathan Pillai and Ganesh Kasinathan. Multifaceted Presentations of Dengue Virus Infection and Its Management: A Case Series. American Journal of Epidemiology and Infectious Disease. 2015; 3(5):103-111. doi: 10.12691/ajeid-3-5-3


Introduction: Dengue fever is a viral infection that encompasses a broad spectrum of systemic manifestations ranging from self-limiting febrile episodes to features of severe dengue (SD), dengue hemorrhagic fever (DHF) and dengue shock syndrome(DSS) that may lead to rapid deterioration and eventually death. It is a major international public health concern due to its increasing morbidity and mortality in all age groups. Background: We describe four different groups of dengue which require distinct management plan pertaining to their severity of presentation. The first case reports a young patient who was managed on an outpatient basis. The second case illustrates dengue in pregnancy which required induction of labor due to fetal distress during the febrile phase. The third patient was an elderly lady who had multiple co-morbidities with significant metabolic acidosis. The fourth patient involved a presentation of severe dengue shock syndrome associated with massive plasma leakage, multi-organ failure and massive hemorrhage. Conclusion: Early diagnosis of dengue fever is imperative in assisting the patient’s navigation through the critical phase of this illness.

dengue international pregnancy outpatient shock

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