Dengue hemorrhagic fever with fulminant hepatic failure in an immigrant returning to Bangladesh.
An immigrant from Bangladesh living in the United Kingdom presented with a nonspecific febrile illness after visiting his homeland and subsequently developed fulminant hepatic failure accompanied by hypotension, ascites, a generalized coagulopathy, and thrombocytopenia. Serology and detection of dengue virus serotype 3 by PCR established a postmortem diagnosis of hepatic failure secondary to dengue hemorrhagic fever.
Lawn
Stephen D
SD
Department of Infectious Diseases, St. George's Hospital Medical School, London SW17 ORE, United Kingdom. stevelawn@yahoo.co.uk
Tilley
Rosalinde
R
Lloyd
Graham
G
Finlayson
Caroline
C
Tolley
Howard
H
Newman
Philip
P
Rice
Philip
P
Harrison
Thomas S
TS
D001201:Ascites / Q000209:etiology; D001459:Bangladesh; D003716:Dengue Virus / Q000276:immunology / Q000302:isolation & purification; D004641:Emigration and Immigration; D006801:Humans; D007022:Hypotension / Q000209:etiology; D017093:Liver Failure / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D019595:Severe Dengue / Q000503:physiopathology* / Q000821:virology; D013921:Thrombocytopenia / Q000209:etiology