Erschienen in:
01.04.2011 | Clinical Brief
Atypical Dengue Fever in a Splenectomized Boy with Glucose-6- Phosphodehydrogenase Deficiency and Thalassemia Intermedia
verfasst von:
Veronique Dinand, Vera Metzler, Satya Prakash Yadav, Anupam Sachdeva
Erschienen in:
Indian Journal of Pediatrics
|
Ausgabe 4/2011
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Abstract
The authors report the difficulties faced in diagnosing and managing dengue fever in a 16-year-old boy suffering from glucose-6-phosphodehydrogenase deficiency and thalassemia intermedia 2 months after splenectomy. Prolonged fever, hepatomegaly, decrease in hematocrit were observed. Negative blood cultures, normal procalcitonin and persistent fever despite broad-spectrum antibiotics decreased the possibility of bacterial sepsis. Platelet count decreased to 58,000/μL on the day of defervescence and dengue IgM serology was positive. The course of dengue fever can be very different if underlying thalassemia, splenectomy and/or G-6PD deficiency are present.