A successful management of dengue fever in pregnancy: Report of two cases

Singh, Nishita; Sharma, Kshitiz; Dadhwal, Vatsla; Mittal, Suneeta; Selvi, AS

doi:10.4103/0255-0857.43577

Cited by 14 publications

(2 citation statements)

References 9 publications

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“…One of six (16.7%) DF patients and one of two (50%) DHF patients in India also underwent cesarean surgery [ 22 ]. Cesarean sections were often performed on DHF, and to a lesser extent DF, patients described in case reports [ 24 – 30 ]. A notable difference between our study and most of the aforementioned studies is that cesarean surgery was not performed on any patients with nonsevere dengue included in this study.…”

Section: Discussionmentioning

confidence: 99%

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Maternal, Fetal, and Neonatal Outcomes in Pregnant Dengue Patients in Mexico

Machaín-Williams

Raga

Baak-Baak

et al. 2018

BioMed Research International

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To increase our understanding of the consequences of dengue virus infection during pregnancy, a retrospective analysis was performed on the medical records of all completed pregnancies (live births and pregnancy losses) at nine public hospitals in the Gulf of Mexico from January to October 2013. Eighty-two patients developed clinical, laboratory-confirmed dengue virus infections while pregnant. Of these, 54 (65.9%) patients were diagnosed with dengue without warning signs, 15 (18.3%) patients were diagnosed with dengue with warning signs, and 13 (15.9%) patients had severe dengue. Five (38.5%) patients with severe dengue experienced fetal distress and underwent emergency cesarean sections. Four patients delivered apparently healthy infants of normal birthweight while the remaining patient delivered a premature infant of low birthweight. Patients died of multiple organ failure during or within 10 days of the procedure. Severe dengue was also associated with obstetric hemorrhage (30.8%, four cases), preeclampsia (15.4%, two cases), and eclampsia (7.7%, one case). These complications were less common or absent in patients in the other two disease categories. Additionally, nonsevere dengue was not associated with maternal mortality, fetal distress, or adverse neonatal outcomes. In summary, the study provides evidence that severe dengue during pregnancy is associated with a high rate of fetal distress, cesarean delivery, and maternal mortality.

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Section: Discussionmentioning

confidence: 99%

“…These rates are considerably higher than those during normal pregnancy [ 34 , 35 ]. Several case reports have highlighted the occurrence of preeclampsia and eclampsia in pregnant DF and DHF patients [ 25 , 28 , 30 , 36 , 37 ]. Hemorrhage during labor occurred in five of 53 (9.3%) pregnant DF patients in French Guiana [ 13 ].…”

Section: Discussionmentioning

confidence: 99%