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Hepatitis in dengue shock syndrome
Luiz José de Souza1, Helder Gonçalves Carneiro, João Tadeu Damian Souto Filho
1Campos Faculty of Medicine, Lílian Neves Clinic, Reference Center for Dengue, Hospital dos Plantadores de Cana, Campos dos Goytacazes, RJ, Brazil. sbcm.rol@terra.com.br
Summary
Dengue fever, a frequent arbovirus disease, can cause unusual liver damage. This case highlights acute hepatitis in Dengue Shock Syndrome, emphasizing the need for careful diagnosis.
Area of Science:
- * Infectious Diseases
- * Hepatology
- * Virology
Background:
- * Dengue fever is a globally prevalent arbovirus disease, significant for its morbidity and mortality.
- * Atypical dengue manifestations, particularly hepatic involvement, are increasingly recognized.
- * Hepatic damage in dengue typically presents with right hypochondrium pain and elevated aminotransferases.
Observation:
- * A case of acute hepatitis was observed in a patient experiencing Dengue Shock Syndrome Grade III.
- * The patient presented with clinical and laboratory signs indicative of severe liver injury.
Findings:
- * Analysis focused on the clinical and laboratory features of this atypical dengue complication.
- * The study investigated the diagnostic challenges and differential diagnoses for dengue-associated hepatitis.
Implications:
- * Recognizing atypical dengue presentations, such as acute hepatitis, is crucial for timely diagnosis and management.
- * This case underscores the importance of considering dengue in the differential diagnosis of acute hepatitis, especially in endemic areas.
- * Further research into dengue's impact on the liver may improve patient outcomes and treatment strategies.