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Spontaneous splenic rupture during the recovery phase of dengue fever
BACKGROUND: 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, wh...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489041/ https://www.ncbi.nlm.nih.gov/pubmed/26136216 http://dx.doi.org/10.1186/s13104-015-1234-5 |
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author | de Silva, W T T Gunasekera, M |
author_facet | de Silva, W T T Gunasekera, M |
author_sort | de Silva, W T T |
collection | PubMed |
description | BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSION: 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-015-1234-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4489041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44890412015-07-03 Spontaneous splenic rupture during the recovery phase of dengue fever de Silva, W T T Gunasekera, M BMC Res Notes Case Report BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSION: 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-015-1234-5) contains supplementary material, which is available to authorized users. BioMed Central 2015-07-02 /pmc/articles/PMC4489041/ /pubmed/26136216 http://dx.doi.org/10.1186/s13104-015-1234-5 Text en © de Silva and Gunasekera. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report de Silva, W T T Gunasekera, M Spontaneous splenic rupture during the recovery phase of dengue fever |
title | Spontaneous splenic rupture during the recovery phase of dengue fever |
title_full | Spontaneous splenic rupture during the recovery phase of dengue fever |
title_fullStr | Spontaneous splenic rupture during the recovery phase of dengue fever |
title_full_unstemmed | Spontaneous splenic rupture during the recovery phase of dengue fever |
title_short | Spontaneous splenic rupture during the recovery phase of dengue fever |
title_sort | spontaneous splenic rupture during the recovery phase of dengue fever |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489041/ https://www.ncbi.nlm.nih.gov/pubmed/26136216 http://dx.doi.org/10.1186/s13104-015-1234-5 |
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