Severe dengue in a puerperal. A case report

• Autores: Maguiña Vargas , Ciro, Cabrera Pajares , Sonia, Michel Espinal-Ramirez , Michel
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/5711
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/5711
• Nivel de acceso: acceso abierto
• Materia: Preeclampsia; Dengue grave; mujeres embarazadas; Pre-Eclampsia; Severe Dengue; Pregnant Women

Dengue fever is an endemic disease worldwide. When pregnant are affected, it carries a severe risk for the mother and the fetus. We present a case of a 36-year-old primigravid with 39 weeks gestation with no past medical history who was admitted to a private center in labor. She had a self-limited febrile illness two days before. She had an abnormal labor with a prolonged latent phase, uterine atony, and significant bleeding refractory to usual treatment, needing a hysterectomy. She presented severe eclampsia, oliguria, and hypovolemic shock in the immediate postpartum period, requiring admission to the ICU. Dengue was suspected due to persistent thrombocytopenia and negative procalcitonin. A positive NS1 antigen and IgM confirmed the diagnosis. The patient developed hepatomegaly and polyserositis but was discharged in good condition.