Spontaneous Splenic Rupture in Severe Dengue

Authors

  • Ahmad Mursel Anam Chief Resident, ICU, Square Hospitals Ltd., Dhaka 1205
  • Mohammad Mufizul Islam Polash Clinical Staff, ICU, Square Hospitals Ltd., Dhaka 1205,
  • Md Motiul Islam Clinical Staff, ICU, Square Hospitals Ltd., Dhaka 1205
  • Muhammad Mahbubur Rahman Bhuiyan Clinical Staff, ICU, Square Hospitals Ltd.,Dhaka 1205
  • ARM Nooruzzaman Consultant, Internal Medicine & Critical Care, Square Hospitals Ltd., Dhaka 1205
  • Mirza Nazim Uddin Consultant, Internal Medicine & Critical Care, Square Hospitals Ltd., Dhaka 1205

DOI:

https://doi.org/10.3329/bccj.v1i1.14373

Keywords:

Severe dengue, Spontaneous splenic rupture, Atypical feature of dengue

Abstract

Dengue is a mosquito-borne systemic viral infection with variety of clinical presentation, ranging from mild febrile illness to severe and fatal disease. A patient presented with history of fever and abdominal pain, and later developed shock. From clinical and epidemiological features, he was diagnosed as a patient of severe dengue, later confirmed by laboratory investigations. In dengue, shock can result from plasma leakage, and abdominal pain may be a feature of acalculous cholecystitis or pancreatitis, recognised presentations of dengue and usually managed conservatively. But high index of suspicion persuaded abdominal imaging, revealing a potentially fatal complication of dengue- spontaneous splenic rupture. Aggressive resuscitation and early surgery saved the patient.

DOI: http://dx.doi.org/10.3329/bccj.v1i1.14373

Bangladesh Crit Care J March 2013; 1: 59-62

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Published

2013-03-31

How to Cite

Anam, A. M., Polash, M. M. I., Islam, M. M., Bhuiyan, M. M. R., Nooruzzaman, A., & Uddin, M. N. (2013). Spontaneous Splenic Rupture in Severe Dengue. Bangladesh Critical Care Journal, 1(1), 59–62. https://doi.org/10.3329/bccj.v1i1.14373

Issue

Section

Case Reports