Title |
A case report of dengue haemorrhagic fever during the peripartum period: challenges in management and a case of vertical dengue transmission
|
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Published in |
BMC Infectious Diseases, August 2018
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DOI | 10.1186/s12879-018-3352-x |
Pubmed ID | |
Authors |
B. V. K. M. Bopeththa, Sardha Hemapriya, K. K. Gayan Niranga, Danushka S. K. Kotigala |
Abstract |
Incidence of Dengue infection is on the increase in Sri Lanka with it being associated with significant maternal and neonatal morbidity in pregnancy. A 33-year-old pregnant woman at 38 weeks of gestation, presented with acute onset of fever, was later diagnosed with Dengue illness. Due to the emergence of warning symptoms and signs and rapidly dropping platelet count, the baby was delivered by urgent caesarian section. She went into the critical phase during the postoperative period and due to concealed bleeding, required blood transfusion. On the 5th day of life, the neonate was also diagnosed with possible dengue by vertical transmission and required blood and PLT transfusions for recovery. This case report illustrates how a high index of suspicion, early diagnosis, close monitoring, timely intervention and critical consideration of physiological changes of pregnancy when interpreting clinical situation, led to achieving a successful outcome. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 70 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 11 | 16% |
Researcher | 11 | 16% |
Student > Postgraduate | 7 | 10% |
Student > Doctoral Student | 4 | 6% |
Student > Bachelor | 4 | 6% |
Other | 10 | 14% |
Unknown | 23 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 28 | 40% |
Nursing and Health Professions | 8 | 11% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Immunology and Microbiology | 2 | 3% |
Unspecified | 1 | 1% |
Other | 3 | 4% |
Unknown | 26 | 37% |