Document Detail

Severe perinatal dengue hemorrhagic fever in a low birth weight infant.
MedLine Citation:
PMID:  23082555     Owner:  NLM     Status:  In-Process    
A 31-year-old Hmong (Thai hilltribe) multiparous (G5P2) female with dengue hemorrhagic fever delivered a low birth weight male infant at 34 weeks estimated gestational age. The mother had fever for a total of 6 days, along with hepatomegaly, hepatic dysfunction and thrombocytopenia. Serology showed acute secondary dengue infection. She had no serious complications. The infant (birth weight 1,850 grams) developed a fever 140 hours postpartum of 37.8 degrees C for one day, then developed drowsiness, poor feeding and apnea. Hepatomegaly, thrombocytopenia, hepatic dysfunction and moderate coagulopathy were detected, with consequential shock and anemia due to gastrointestinal and pulmonary hemorrhage. Vigorous treatment with mechanical ventilation, packed red cells (PRC), fresh frozen plasma (FFP) and platelet concentrate transfusions were given and the child recovered successfully and commenced breast-feeding. At six months of age the child's growth and development were normal except for an impaired hearing screening test.
Prasonk Witayathawornwong; Orawan Jirachanchai; Punthip Kasemsut; Nawinda Mahawijit; Ratchaneegorn Srisakkwa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  43     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-10-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  62-7     Citation Subset:  IM    
Department of Pediatrics, Phetchabun Hospital, Phetchabun, Thailand.
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