Respiratory insufficiency and hemoptysis in a patient with dengue: Diffuse alveolar hemorrhage as an unusual presentation of severe dengue

• Autores: Hurtado-Alegre, Jorge, Carrasco-Lozano, Luis Enrique, Zavala-Portugal, Juliana, Quispe-Pari, Jhosef Franck, Matos-Prado, Eduardo Demetrio
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1114
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1114
• Nivel de acceso: acceso abierto
• Materia: Dengue; Hemoptisis; Insuficiencia respiratoria; Hemorragia; Perú; Hemoptysis; Respiratory insufficiency; Hemorrhage; Peru

Background: Dengue virus infection is an endemic disease in some regions of Peru. Most of these cases are classified as dengue without warning signs and the reported mortality is less than 1%. However, there are certain conditions associated with the disease that could increase mortality. Case report: We present the case of a 48-year-old female patient from a dengue endemic area with clinical and laboratory compatible with dengue disease with warning signs. During hospitalization, she presents hemoptysis and respiratory insufficiency, leading to death. Conclusion: It is important to recognize diffuse alveolar hemorrhage as part of dengue respiratory manifestations and to differentiate it from other infectious and non-infectious possibilities in order to provide appropriate and early management.