title: Fatal fulminant hepatic failure in a diabetic with primary dengue.
abstract: We report a 49-year-old diabetic with dengue hemorrhagic fever who developed fulminant hepatitis, severe coagulopathy, shock, and refractory metabolic acidosis and died on the eighth day of illness. This is the only second report of an adult with fatal fulminant hepatic failure due to dengue, and the first case arising from a primary dengue infection.
authors.affiliation: Department of Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605014, India.
authors.forename: Stalin
authors.initials: S
authors.lastname: Viswanathan
authors.forename: Nayyar
authors.initials: N
authors.lastname: Iqbal
authors.forename: P Philip
authors.initials: PP
authors.lastname: Anemon
authors.forename: G Shyam
authors.initials: GS
authors.lastname: Kumar