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Dengue and HELLP: Beware of the Masquerade

HELLP is a syndrome characterized by hemolysis, elevated liver enzymes, and low platelets. It is a rare complication of pregnancy and is usually associated with pre-eclampsia. However, 10–20% cases of HELLP can present without hypertension. Dengue fever is an arboviral-borne tropical illness that is...

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Autores principales: Patnaik, Rohit, Kulkarni, Shruthi, Karan, Nupur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160621/
https://www.ncbi.nlm.nih.gov/pubmed/35719450
http://dx.doi.org/10.5005/jp-journals-10071-24213
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author Patnaik, Rohit
Kulkarni, Shruthi
Karan, Nupur
author_facet Patnaik, Rohit
Kulkarni, Shruthi
Karan, Nupur
author_sort Patnaik, Rohit
collection PubMed
description HELLP is a syndrome characterized by hemolysis, elevated liver enzymes, and low platelets. It is a rare complication of pregnancy and is usually associated with pre-eclampsia. However, 10–20% cases of HELLP can present without hypertension. Dengue fever is an arboviral-borne tropical illness that is characterized with fever, thrombocytopenia, and bleeding manifestations. We present a case of a primigravida with HELLP syndrome masquerading in the background of dengue fever. Unique features to this case report include delayed presentation of HELLP syndrome with normotension which can have overlapping features with dengue fever, especially in term pregnancy. This case highlights the need of strict vigilance in cases of dengue fever with pregnancy. HOW TO CITE THIS ARTICLE: Patnaik R, Kulkarni S, Karan N. Dengue and HELLP: Beware of the Masquerade. Indian J Crit Care Med 2022;26(5):639–640.
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spelling pubmed-91606212022-06-17 Dengue and HELLP: Beware of the Masquerade Patnaik, Rohit Kulkarni, Shruthi Karan, Nupur Indian J Crit Care Med Case Report HELLP is a syndrome characterized by hemolysis, elevated liver enzymes, and low platelets. It is a rare complication of pregnancy and is usually associated with pre-eclampsia. However, 10–20% cases of HELLP can present without hypertension. Dengue fever is an arboviral-borne tropical illness that is characterized with fever, thrombocytopenia, and bleeding manifestations. We present a case of a primigravida with HELLP syndrome masquerading in the background of dengue fever. Unique features to this case report include delayed presentation of HELLP syndrome with normotension which can have overlapping features with dengue fever, especially in term pregnancy. This case highlights the need of strict vigilance in cases of dengue fever with pregnancy. HOW TO CITE THIS ARTICLE: Patnaik R, Kulkarni S, Karan N. Dengue and HELLP: Beware of the Masquerade. Indian J Crit Care Med 2022;26(5):639–640. Jaypee Brothers Medical Publishers 2022-05 /pmc/articles/PMC9160621/ /pubmed/35719450 http://dx.doi.org/10.5005/jp-journals-10071-24213 Text en Copyright © 2022; The Author(s). https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial 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/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Patnaik, Rohit
Kulkarni, Shruthi
Karan, Nupur
Dengue and HELLP: Beware of the Masquerade
title Dengue and HELLP: Beware of the Masquerade
title_full Dengue and HELLP: Beware of the Masquerade
title_fullStr Dengue and HELLP: Beware of the Masquerade
title_full_unstemmed Dengue and HELLP: Beware of the Masquerade
title_short Dengue and HELLP: Beware of the Masquerade
title_sort dengue and hellp: beware of the masquerade
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160621/
https://www.ncbi.nlm.nih.gov/pubmed/35719450
http://dx.doi.org/10.5005/jp-journals-10071-24213
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