title: [Dengue fever with hemorrhagic manifestations after a stay in Thailand].
abstract: On returning from a 24-day long stay in Thailand a 30-year-old German woman fell ill with high fever and head and limb aches. Soon after a confluent petechial exanthem was noted, as well as conjunctival and gastrointestinal bleedings. Biochemical findings (fall in haemoglobin concentration and haematocrit, leucopenia and thrombocytopenia, rise in lactate dehydrogenase) and a rise in Dengue antibody titre to 1 : 320 (on the 13th day of illness) confirmed the diagnosis of Dengue fever with haemorrhagic manifestations. This mosquito-transmitted viral disease, while so far only rarely reported in tourists, should be considered in the differential diagnosis of fever of undetermined origin in travellers to the tropics.
authors.affiliation: Medizinische Klinik, Caritas-Krankenhaus, Bad Mergentheim.
authors.forename: R
authors.initials: R
authors.lastname: Krippner
authors.forename: G
authors.initials: G
authors.lastname: Hanisch
authors.forename: H
authors.initials: H
authors.lastname: Kretschmer
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis; D003229:Conjunctival Diseases; D003715:Dengue / Q000097:blood / Q000175:diagnosis*; D003716:Dengue Virus / Q000276:immunology; D003937:Diagnosis, Differential; D005130:Eye Hemorrhage; D005260:Female; D006471:Gastrointestinal Hemorrhage; D005860:Germany, West / Q000208:ethnology; D006400:Hematocrit; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood; D007970:Leukopenia; D011693:Purpura; D013785:Thailand; D013921:Thrombocytopenia; D014195:Travel
chemical_list: D000914:Antibodies, Viral; D006454:Hemoglobins; D007770:L-Lactate Dehydrogenase
vernacular_title: Denguefieber mit hämorrhagischen Manifestationen nach Thailandaufenthalt.