Case Report
 
Dengue hemorrhagic fever with multiple abscesses: An unusual presentation
Kunal Bhatia1, Manisha Thakur2, YC Porwal3, UC Kansra4, Arun Iyer5
1MBBS, PGY-II (MD Medicine), Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hosiptal, New Delhi, India.
2MD Medicine, Associate Professor, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
3MD Medicine, Associate Professor, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
4MD Medicine, FICP, FIACM, Professor, Department of Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
5MBBS, PGY-III (MD Medicine), Department of Medicine,Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

doi:10.5348/ijcri-2013-06-323-CR-8

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How to cite this article:
Bhatia K, Thakur M, Porwal YC, Kansra UC, Iyer A. Dengue hemorrhagic fever with multiple abscesses: An unusual presentation. International Journal of Case Reports and Images 2013;4(6):326–329.


Abstract
Introduction: Dengue is a common arboviral illness endemic in India. Concurrent bacterial co-infection in dengue is rare and often underreported.
Case Report: We report a case of an 18-year-old male with dengue hemorrhagic fever presenting as multiple abscesses due to a concomitant bacterial co-infection. Surgical intervention was done and the pus aspirated isolated Escherichia coli, although blood cultures were negative. The patient responded favorably after starting an antimicrobial regimen based on pus culture sensitivity reports and was discharged thereafter.
Conclusion: Clinicians should be aware of the possibility of a concurrent bacterial co-infection in patients with dengue virus infection/dengue hemorrhagic fever so as to initiate a timely additional antimicrobial treatment.

Keywords: Dengue fever, Dengue hemorrhagic Fever, Unusual presentation, Abscesses


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Author Contributions
Kunal Bhatia – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Manisha Thakur – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
YC Porwal – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
UC Kansra – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Arun Iyer – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
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© Kunal Bhatia et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)