Unilateral massive hemothorax in Dengue hemorrhagic fever: A unique presentation

Suman S. Karanth, Anurag Gupta, Mukhyaprana Prabhu

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6 Citations (Scopus)


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
Issue number9
Publication statusPublished - 01-09-2012

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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