Spontaneous splenic rupture during the recovery phase of dengue fever

Spontaneous splenic rupture is a rare but known complication of dengue fever. Previously reported cases have occurred early during the course of the disease and most cases have led to a fatal outcome. Here we report a case of spontaneous splenic rupture in a patient with dengue fever, which occurred...

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Bibliographic Details
Published in:BMC research notes 2015-07, Vol.8 (1), p.286-286, Article 286
Main Authors: de Silva, W T T, Gunasekera, M
Format: Article
Language:English
Subjects:
Adult
Care and treatment
Case Report
Case studies
Complications and side effects
Convalescence
Dengue
Dengue - complications
Dengue - pathology
Dengue - surgery
Dengue - virology
Dengue Virus - pathogenicity
Dengue Virus - physiology
Diagnosis
Health aspects
Humans
Male
Risk factors
Rupture, Spontaneous - complications
Rupture, Spontaneous - pathology
Rupture, Spontaneous - surgery
Rupture, Spontaneous - virology
Sinhalese
Spleen - pathology
Spleen - surgery
Spleen - virology
Splenectomy
Treatment Outcome
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Summary:Spontaneous splenic rupture is a rare but known complication of dengue fever. Previously reported cases have occurred early during the course of the disease and most cases have led to a fatal outcome. Here we report a case of spontaneous splenic rupture in a patient with dengue fever, which occurred during the recovery phase of the illness. A 28-year-old Sinhalese, Sri Lankan man presented with a history of fever, myalgia and vomiting of 4 days duration. Investigations revealed a diagnosis of dengue fever with no signs of plasma leakage. He was managed in the ward as per local protocol. During the recovery phase the patient developed severe abdominal distention with circulatory failure. Radiology revealed splenic rupture with massive amounts of abdominal free fluid. The patient was resuscitated and Emergency laparotomy with splenectomy was performed. The outcome was excellent with the patient making a complete recovery. Although splenic rupture is a known complication of dengue fever it may be manifested late in the disease process. A high degree of suspicion should be maintained and patients must be monitored even during the recovery phase of dengue fever. Early diagnosis and intervention can prevent mortality.
ISSN:1756-0500
1756-0500
DOI:10.1186/s13104-015-1234-5