Unilateral massive hemothorax in Dengue hemorrhagic fever: A unique presentation

Suman S. Karanth, Anurag Gupta, Mukhyaprana Prabhu

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)753-754
Number of pages2
JournalAsian Pacific Journal of Tropical Medicine
Volume5
Issue number9
DOIs
Publication statusPublished - 01-09-2012

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Severe Dengue
Hemothorax
Dengue
Pleural Effusion
Thrombocytopenia
Purpura
Disseminated Intravascular Coagulation
Hematocrit
Dyspnea
Immunoglobulin M
Emergencies
Fever
Thorax
Hemorrhage
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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Unilateral massive hemothorax in Dengue hemorrhagic fever : A unique presentation. / Karanth, Suman S.; Gupta, Anurag; Prabhu, Mukhyaprana.

In: Asian Pacific Journal of Tropical Medicine, Vol. 5, No. 9, 01.09.2012, p. 753-754.

Research output: Contribution to journalArticle

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