Abstract
Background: Dengue fever is a febrile illness caused by infection with one of 4 dengue viruses transmitted by Aedes aegypti. Infection may be asymptomatic or present with a broad range of clinical manifestations including a mild febrile illness to a life-threatening shock syndrome. Incidence of Dengue has increased exponentially with half of world’s population at the risk of infection. We present a case report of 38year old male who was admitted to our hospital with dengue fever with thrombocytopenia. During his course in hospital he developed swelling over the right forearm and arm which progressed to acute compartment syndrome and emergency fasciotomy was done and his limb was salvaged. This illustrates a rare but an important and potential complication of Dengue fever and also the importance of timing of surgery.
Keywords: Dengue fever, compartment syndrome, fasciotomy, thrombocytopenia.
References
- Academy A, Board OS (2018) Management of acute compartment syndrome.
- Frca CF, Frcs MT (2011) Acute limb compartment syndromes. 11(1): 24- 28.
- Gubler DJ (1998) Dengue and Dengue Hemorrhagic Fever. 11(3): 480- 496.
- Officer M, Gastroenterologist C, Hospital A, Consultant ID, Hospital SB, et al. (2016) Dengue fever with compartment syndrome. Pp. 2016-2018.
- Wills BA, Oragui EE, Stephens AC, Daramola OA, Dung NM, et al. (2002) Coagulation abnormalities in dengue hemorrhagic fever: Serial investigations in 167 vietnamese children with dengue shock syndrome. Clin Infect Dis 35(3): 277-285.
- Report C (2013) Acute compressive ulnar neuropathy in a patient of dengue fever: An unusual presentation. 3(2): 25-28.
- Pizarro-torres D (2016) Original dengue with severe plasma leakage: A new monitoring approach. Pp. 115-121.
- Kamath SR, Ranjit S (2006) Clinical features, complications and atypical manifestations of children with severe forms of dengue hemorrhagic fever in south India. 73: 889-895.
- Donaldson J, Haddad B, Khan WS (2014) The pathophysiology, diagnosis and current management of acute compartment syndrome. Open Orthop J 8: 185-193.
- Raza H, Mahapatra A (2015) Acute compartment syndrome in orthopedics: Causes, diagnosis and management. Adv Orthop 2015: 543412.
- Khoo CS, Chu GSE, Rosaida MS, Chidambaram SK(2016) Dengue fever with compartment syndrome of the right arm; J Roy Coll Physicians Edinb; 46: 241–3.
- Bandyopadhyay D, Mondal P, Samui S et al.(2012) Acute compartment syndrome of upper limb as an unusual complication of dengue hemorrhagic fever. N Am J Med Sci ; 4: 667–8.
- Saiful Azlan Bin Kamisan1, Ren Yi Kow, Ed Simor Khan Mor Japar Khan, Sa’adon Bin Ibrahim (2018) Limb-threatening compartment syndrome: A rare complication of dengue fever. IeJSME 2018 12(3): 30-32.
- Kishan R S, Rajandra K K, Jeffry R, Zamzuri Z. (2019) A Case of Acute Compartment Syndrome of Upper Limb in a Dengue Haemorrhagic Fever Patient Secondary to Intravenous Cannula Insertion. Ortho Res Online J. 5(3).
Corresponding Author
Dr Shruthi R
Junior Resident, Department of General Medicine, K.S. Hedge Medical Academy, Deralakatte, Mangalore