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Case Reports
. 2012 Oct;87(4):741-2.
doi: 10.4269/ajtmh.2012.11-0692. Epub 2012 Sep 4.

Severe thrombotic events associated with dengue fever, Brazil

Paulo Sérgio Gonçalves da Costa  1 , Geyza Machado Ribeiro, Cleber Soares Junior, Lenilton da Costa Campos
Affiliations
Case Reports

Severe thrombotic events associated with dengue fever, Brazil

Paulo Sérgio Gonçalves da Costa et al. Am J Trop Med Hyg. 2012 Oct.

Abstract

Dengue fever has been a major problem in hospital settings in Brazil for the past 15 years. The main concern has been the severe forms, i.e., dengue hemorrhagic fever and dengue shock syndrome. Hemorrhagic events of different degrees have also been a major concern. We report five cases of large vein thrombotic events associated with the acute phase of dengue fever, including a previously non-reported case of mesenteric vein thrombosis. Complications such as these could have been overlooked in the diagnosis of dengue fever, given that the major concern is the hemorrhagic event.

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Figures

Figure 1.
Figure 1.
T1-weighted cholangio-magnetic resonance image with contrast of dengue patient 5 showing the superior mesenteric vein (SMV) with a large thrombus (arrow) occupying the vein lumen. SMA = superior mesenteric artery; IVC = inferior vena cava; Ao = aorta.
See this image and copyright information in PMC

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