title: Acute gingival bleeding as a complication of dengue hemorrhagic fever.
abstract: Dengue fever is mosquito borne disease caused by dengue virus (DENV) of Flaviviridae family. The clinical manifestations range from fever to severe hemorrhage, shock and death. Here, we report a case of 20-year-old male patient undergoing orthodontic treatment presenting with acute gingival bleeding with a history of fever, weakness, backache, retro orbital pain and ecchymosis over his right arm. The hematological investigations revealed anemia, thrombocytopenia and positive dengue non-structural protein-1 antigen and also positive immunoglobulin M and immunoglobulin G antibodies for DENV. Patient was diagnosed as a case of dengue hemorrhagic fever and was immediately referred for appropriate management. This case report emphasizes the importance of taking correct and thorough medical history.
authors.affiliation: Department of Periodontics and Community Dentistry, Dr. Z A Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
authors.forename: Saif
authors.initials: S
authors.lastname: Khan
authors.forename: N D
authors.initials: ND
authors.lastname: Gupta
authors.forename: Sandhya
authors.initials: S
authors.lastname: Maheshwari
keywords: Acute gingival bleeding; dengue fever; hemorrhage; thrombocytopenia