A dengue shock patient with negative serology and polymerase chain reaction (PCR) tests.
A 6-month-old Thai girl presented with clinical manifestations of dengue shock syndrome (DSS) with encephalopathy and urinary tract infection. Serology and PCR tests were negative whereas dengue virus type 2 was isolated. In cases of highly suspected dengue infections, viral isolation should be done even when serological and PCR tests are negative.
Pancharoen
C
C
Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. chadapanch@usa.net
Thisyakorn
U
U
Nisalak
A
A
D000914:Antibodies, Viral / Q000097:blood; D003716:Dengue Virus / Q000276:immunology / Q000302:isolation & purification*; D004797:Enzyme-Linked Immunosorbent Assay; D004927:Escherichia coli Infections / Q000150:complications; D005260:Female; D006801:Humans; D007223:Infant; D016133:Polymerase Chain Reaction; D019595:Severe Dengue / Q000150:complications / Q000175:diagnosis* / Q000821:virology; D014552:Urinary Tract Infections / Q000150:complications
D000914:Antibodies, Viral