title: A fatal case of primary dengue infection with myocarditis and cerebral oedema.
abstract: With dengue fever emerging as a global health problem and more Australians travelling to endemic areas, imported dengue infection is on the rise and clinicians need to remain vigilant. Primary cardiac and neurologic involvement in dengue infection has been rarely described in the medical literature and the pathophysiology is poorly understood. A rare and fatal case of primary dengue infection in a 34-yearold woman who returned from Papua New Guinea is reported; the unusual features of this case include severe primary dengue infection, myocarditis, and acute cerebral oedema resulting in death. This case demonstrates that severe atypical manifestations and fatality can occur with primary dengue infection.
authors.affiliation: Intensive Care Unit, Logan Hospital, Meadowbrook, QLD, Australia.
authors.forename: Sunil
authors.initials: S
authors.lastname: Sane
authors.affiliation: Intensive Care Unit, Logan Hospital, Meadowbrook, QLD, Australia.
authors.forename: Asta
authors.initials: A
authors.lastname: Saulova
authors.affiliation: Intensive Care Unit, Logan Hospital, Meadowbrook, QLD, Australia.
authors.forename: Rhiannon
authors.initials: R
authors.lastname: McLaren
authors.affiliation: Intensive Care Unit, Logan Hospital, Meadowbrook, QLD, Australia.
authors.forename: Hayden
authors.initials: H
authors.lastname: White
keywords: Australia; Dengue; cerebral oedema; infection; myocarditis