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A Case of Dengue Fever With Multiserotype IgG Positivity
Noah R Wheaton1, Davon T Lee1, Samrawit W Zinabu1
1Internal Medicine, Howard University Hospital, Washington, DC, USA.
Dengue fever, a mosquito-borne illness, can cause severe symptoms like fever and rash. Early supportive care is key for recovery, as shown in this case report from a traveler returning from El Salvador.
Area of Science:
- Tropical Medicine
- Infectious Diseases
- Virology
Background:
- Dengue fever is a significant global health concern, endemic in tropical and subtropical areas.
- It is a mosquito-borne viral illness with increasing prevalence worldwide.
Observation:
- A 52-year-old male presented with severe dengue-like symptoms after traveling to El Salvador.
- Symptoms included high fever, malaise, diarrhea, dizziness, blurry vision, chills, cough, headache, and generalized pain.
- Physical examination revealed petechiae and a positive Rumpel-Leede test, indicating capillary fragility and potential thrombocytopenia.
Findings:
- The patient's clinical presentation was consistent with dengue infection.
- Supportive care, including antipyretics, hydration, and electrolyte management, led to symptom resolution.
- The patient was discharged by day four of treatment.
Implications:
- This case highlights the importance of considering dengue in differential diagnoses for patients with relevant travel history.
- It emphasizes the expanding geographic reach of dengue fever.
- Prompt recognition and supportive management are crucial for favorable outcomes in dengue cases.
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