Airway breathing circulation dengue: a case of multifactorial shock due to major trauma and severe dengue infection

Airway breathing circulation dengue: a case of multifactorial shock due to major trauma and severe dengue infection

Trauma, Dengue, Major trauma, Shock

Abstract

Background Dengue is the most common arboviral illness reported globally, endemic to most tropical and sub-
tropical regions of the world. Dengue Shock Syndrome is a rare complication of severe Dengue infection resulting

in haemorrhagic complications and refractory hypotension. We report on a case of severe dengue diagnosed
in a patient with major trauma and illustrate some of the potential challenges and considerations in the clinical
management of such cases.
Case Presentation A 49-year-old female presented following a road trauma incident with multiple abdominal
injuries requiring urgent laparotomy. Her recovery in Intensive Care Unit was complicated by the development of
Dengue Shock Syndrome characterised by a falling haemoglobin and platelet count, multiorgan dysfunction and
prolonged hospital stay.
Conclusions Dengue Shock Syndrome may complicate fluid management and bleeding control in major trauma
cases. Awareness of Dengue, particularly in endemic areas and returned travellers may help facilitate early diagnosis
and management of complications.
Keywords Trauma, Dengue, Major trauma, Shock

Bui Hai Hoang1,2, Thomas Vu Tang3

, Nguyen Dai Nghia Phan2

, Anh Dung Nguyen1

and Michael Minh Quoc Dinh4*

https://doi.org/10.1186/s12245-024-00673-7

2024

Peri Irawan

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