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Case Reports
. 2015 Sep 30;8(9):299-303.
doi: 10.4066/AMJ.2015.2489. eCollection 2015.

A fatal case of primary dengue infection with myocarditis and cerebral oedema

Sunil Sane  1 , Asta Saulova  1 , Rhiannon McLaren  1 , Hayden White  1
Affiliations
Case Reports

A fatal case of primary dengue infection with myocarditis and cerebral oedema

Sunil Sane et al. Australas Med J. .

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.

Keywords: Australia; Dengue; cerebral oedema; infection; myocarditis.

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Conflict of interest statement

CONFLICTS OF INTEREST

The authors declare that they have no competing interests.

Figures

Figure 1: Heart–high power view (40x)
Figure 1: Heart–high power view (40x)
Figure 2: Lung–microphotography (20x)
Figure 2: Lung–microphotography (20x)
Figure 3: Liver–microphotography (20x)
Figure 3: Liver–microphotography (20x)
See this image and copyright information in PMC

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