Anticipated and unanticipated complications of severe dengue in a primigravida
2015
As the incidence of dengue is rising among adults more cases of
dengue feverare being reported during pregnancy. Physiological changes of pregnancy mask the
pathognomonicfeatures of severe dengue such as increased
hematocrit, thrombocytopenia, and
leukopeniaand a high index of suspicion are required in endemic areas. Massive hemorrhage may complicate operative deliveries in unsuspected patients. World Health Organization recommends that all patients with severe dengue should be admitted to a hospital with access to intensive care facilities and blood transfusion. We present the successful management of hemorrhage and unanticipated complications of severe dengue in a young primigravida admitted to the Intensive Care Unit after an emergency cesarean section.
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