title: Dengue hemorrhagic shock in the western hemisphere.
abstract: A 39-year-old man after visiting an endemic dengue area during a local outbreak developed a febrile illness complicated by skin petechiae, bleeding, shock, hemoconcentration, and death. The presumptive diagnosis of dengue was made based on hemagglutination inhibition and complement fixation titers in a single sample. The serologic evidence and ancillary laboratory findings are compatible with a secondary antibody response.
mesh_terms: D000328:Adult; D003715:Dengue / Q000150:complications / Q000175:diagnosis*; D004196:Disease Outbreaks; D004293:Dominican Republic; D006801:Humans; D008297:Male; D012769:Shock / Q000175:diagnosis* / Q000209:etiology