Spontaneous splenic rupture due to dengue fever: report of two cases

Seravali, Maria Roberta Meneguetti; Santos, Antônio Henrique Gomes dos; Costa, Carlos Eduardo Fávero; Rangel, Diego Teixeira Alves; Valentim, Leonardo Fernandes; Gonçalves, Raphael Moreira

doi:10.1590/s1413-86702008000600019

Cited by 16 publications

(35 citation statements)

References 10 publications

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“…Dengue hemorrhagic fever can also present as acute abdomen as in scrub typhus with acalculous cholecyctitis [9], splenic rupture [10] and pancreatitis. Generally, dengue patients present with preceding fever of 2 to 7 days’ duration.…”

Section: Discussionmentioning

confidence: 99%

Pancreatitis and MODS Due to Scrub Typhus and Dengue Co-Infection

et al. 2012

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We report a 40 year old woman admitted with an acute abdomen. Investigations revealed pancreatitis, bilateral pleural effusion, renal failure, disseminated intravascular coagulation, and scrub IgM ELISA and dengue NS1 positivity. She improved with azithromycin and appropriate pain and fluid management. She also developed central venous catheter-related MRSA sepsis that was managed in the hospital.

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Section: Discussionmentioning

confidence: 99%

Pancreatitis and MODS Due to Scrub Typhus and Dengue Co-Infection

et al. 2012

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“…A total of 16 case reports (17 individual patients) were found, published from 1997 to 2017. Seravali et al reported two cases of splenic rupture . All cases were nontraumatic splenic rupture related to dengue infection.…”

Section: Resultsmentioning

confidence: 99%

“…Seravali et al reported same symptoms/signs for two cases with splenic rupture post dengue infection.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of spontaneous splenic rupture in dengue‐infected patients

Radwan

Khattab

Mahmoud

et al. 2019

Reviews in Medical Virology

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Summary Dengue infection varies from a mild febrile form to more severe disease with plasma leakage, shock, and multiorgan failure. Several serious complications such as cardiomyopathy, encephalopathy, encephalitis, hepatic damage, and neural manifestations cause organ damage in dengue infection. Splenic rupture, a less well known but life‐threatening complication, can occur in dengue. The mechanism of splenic rupture in dengue is still unclear. Optimal therapeutic management is required to save the lives of patients with this complication. The objective of this study was to conduct a systematic review of studies documenting the development of spontaneous nontraumatic splenic rupture in patients with dengue infection. In March 2018, a search was conducted systematically in nine electronic databases, in addition to hand‐ searching. A total of 127 references were exported to Endnote; 47 references remained after removing duplicates. Finally, 16 reports met the inclusion criteria and represented 17 cases. All articles were evaluated and data extracted according to predefined criteria: number of cases, age, sex, severity of dengue disease, days of illness before admission, methods of definitive diagnosis, timing of the event, and management and outcome. A total of 17 individual patients including 13 males and four females were found. Most of the patients were young adults (ranging from 20 to 52 years) and diagnosed with computed tomography scan and managed with splenectomy. Four cases were fatal. Pathological splenic rupture in dengue is a rare, life‐threatening condition where timely management can achieve a favorable outcome.

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“…Dengue should be the primary diagnostic suspicion when faced with a child with exanthema and fever in an endemic area (40) . Complications include liver failure and renal failure (41) , encephalopathies (42) , rupture of the spleen (43) , sepsis and bacterial infections, hemorrhages of the retina and middle ear, cerebral hemorrhages, shock, respiratory distress syndrome, Reye syndrome, massive hemorrhages, noncardiogenic pulmonary edema and disseminated intravascular coagulation (35) . All of the clinical, epidemiological and laboratory data are taken into considerations before reaching a final diagnosis of dengue.…”

Section: Clinical and Laboratory Findingsmentioning

confidence: 99%

Dengue em crianças: da notificação ao óbito

Abe

Marques

Costa

2012

Rev. paul. pediatr.

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Objectives: To report the historical aspects, epidemiological and clinical features of dengue fever in children, stressing the importance of disease reporting for prevention of deaths and morbidity in children.Data source: A review of the major studies published on dengue and dengue in children was performed. The following databases Lilacs, SciELO, Medline and Scopus were studied along with official documents of the Ministry of Health of Brazil. The search covered the period from January 1980 to March 2011 and a combination of the following terms was applied: dengue, dengue in children, pediatric dengue, and disease notification.Data synthesis: All studied found were evaluated and a timeline and key information connected to the theme were established; factors related to the virus and the vector were also included, and information on the clinical characteristics and importance of reporting the disease have been identified, as well as relevant research and elucidation of all deaths reported. There are a number of studies on the subject, but a greater emphasis was given to those relevant to children.Conclusions: The knowledge of this disease, which constitutes the main emerging and reemerging disease at the present, is essential for early diagnosis, timely treatment and prevention of deaths. Adequate report of cases is still lacking as well as an improvement of description of deaths in children with dengue.Key-words: dengue; child; disease notification. RESUMOObjetivo: Descrever aspectos históricos, epidemiológicos e clínicos da dengue em crianças, demonstrando a importância das notificações e conhecimento destas para prevenir a evolução de gravidade e os óbitos nessa população.Fontes de dados: Revisão narrativa dos principais trabalhos publicados sobre dengue e dengue em crianças. Buscaram-se estudos nas seguintes bases de dados: Lilacs, SciELO, Medline e Scopus, além de documentos oficiais do Ministério da Saúde. A busca incluiu trabalhos publicados no período de janeiro de 1980 a março de 2011. Os descritores utilizados foram: dengue, dengue em criança, dengue em pediatria e notificação de doenças.Síntese dos dados: Todos os artigos encontrados foram avaliados e procurou-se estabelecer uma linha de tempo e principais informações alusivas ao tema, fatores referentes ao vírus e ao vetor também foram incluídos; informações sobre as características clínicas e importância das notificações foram apontadas, além da relevante investigação e elucidação de todos os óbitos notificados. Existe um grande número de estudos sobre o assunto, porém foi dada maior ênfase àqueles pertinentes às crianças.Conclusões: O conhecimento desta doença, que se configura como principal doença emergente e reemergente na atualidade, é fundamental para diagnóstico precoce, tratamento oportuno e prevenção de óbitos. Há uma lacuna na notificação adequada em Pediatria, assim como no detalhamento dos óbitos em crianças vítimas de dengue.Palavras-chave: dengue; criança; notificação de doenças.Endereço para correspondência: Paulo Sérgio Sucas...

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Spontaneous splenic rupture due to dengue fever: report of two cases

Abstract: Dengue is a febrile illness caused by Flavivírus and mainly transmitted by the mosquito Aedes aegypiti which have been a serious epidemic in Rio de Janeiro. In most of cases it was a self limited disease. We report two cases of a serious and rare complication of this viral infection.

Cited by 16 publications

References 10 publications

Pancreatitis and MODS Due to Scrub Typhus and Dengue Co-Infection

Pancreatitis and MODS Due to Scrub Typhus and Dengue Co-Infection

Systematic review of spontaneous splenic rupture in dengue‐infected patients

Dengue em crianças: da notificação ao óbito

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