Dengue fever presenting as thrombotic thrombocytopenic purpura in adolescent girl: A case report

Abstract

Thrombotic thrombocytopenic purpura (TTP) is an extremely rare presentation of dengue viral infection in children which can lead to multiple organ dysfunctions in children. It is a fatal disease and can result in mortality in children if left untreated. A 15-year-old adolescent girl presented with fever, shortness of breath, and bleeding manifestations, followed by she developed hemolytic anemia, ecchymotic skin lesions, acute kidney injury, and altered sensorium. A diagnosis of TTP due to dengue fever was made and she responded very well to a plasma transfusion therapy.