title: Dengue hemorrhagic fever with fulminant hepatic failure in an immigrant returning to Bangladesh.
abstract: 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.
authors.affiliation: Department of Infectious Diseases, St. George's Hospital Medical School, London SW17 ORE, United Kingdom. stevelawn@yahoo.co.uk
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Lawn
authors.forename: Rosalinde
authors.initials: R
authors.lastname: Tilley
authors.forename: Graham
authors.initials: G
authors.lastname: Lloyd
authors.forename: Caroline
authors.initials: C
authors.lastname: Finlayson
authors.forename: Howard
authors.initials: H
authors.lastname: Tolley
authors.forename: Philip
authors.initials: P
authors.lastname: Newman
authors.forename: Philip
authors.initials: P
authors.lastname: Rice
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Harrison
mesh_terms: 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