Fatal subarachnoidal haemorrhage in a Norwegian traveller with dengue virus infection.
We present a Norwegian female in her thirties who acquired dengue fever caused by dengue virus serotype 2 while travelling to Mexico. When hospitalised 3 days after symptom onset, the patient had severe headache, fever, rash and a positive tourniquet test, but did not fulfil the criteria of dengue haemorrhagic fever (DHF). Five days later she developed a fatal subarachnoidal haemorrhage. A post-mortem examination failed to reveal any intracranial arterial aneurysm. Our case was consistent with so called 'dengue fever with haemorrhages', a recently described entity that mainly affects adults and may cause severe bleedings also in the absence of DHF.
Jensenius
Mogens
M
Department of Internal Medicine, Aker University Hospital, Oslo, Norway. mogens.jensenius@joks.uio.no
Berild
Dag
D
Ormaasen
Vidar
V
Maehlen
Jan
J
Lindegren
Gunnel
G
Falk
Kerstin I
KI
D000328:Adult; D003715:Dengue / Q000150:complications* / Q000188:drug therapy / Q000821:virology; D003716:Dengue Virus / Q000302:isolation & purification*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009664:Norway; D013345:Subarachnoid Hemorrhage / Q000097:blood / Q000821:virology*; D014195:Travel