Hepatitis in dengue shock syndrome.
Dengue fever is the most frequent arbovirus disease in the world and the most important one in terms of morbidity and mortality. Atypical manifestations of dengue have become commonplace during the last few years, including hepatic damage, which manifests mainly by pain in the right hypochondrium and an increase in the levels of aminotransferases. We describe a case of acute hepatitis in a patient with Dengue Shock Syndrome Grade III. We analyzed the clinical and laboratory aspects of this atypical complication of dengue as well as the differential diagnoses.
de Souza
Luiz José
LJ
Campos 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
Gonçalves Carneiro
Helder
H
Souto Filho
João Tadeu Damian
JT
Ferreira de Souza
Thiago
T
Azevedo Côrtes
Vitor
V
Neto
Carlos Gicovate
CG
Bastos
Diogo Assed
DA
da Silva Siqueira
Edno Wallace
EW
D000208:Acute Disease; D002648:Child; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006525:Hepatitis, Viral, Human / Q000175:diagnosis / Q000821:virology*; D006801:Humans; D008297:Male; D019595:Severe Dengue / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D000637:Transaminases / Q000097:blood
D000637:Transaminases