1Professor, PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
2Assistant Professor, PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
3Senior Resident, PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
4Junior Resident, PG Department of Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinganagar, Bhubaneswar, Odisha, India
*Corresponding Author: Srikant Kumar Dhar, Professor, PG Department of Medicine, IMS and SUM hospital, Siksha “O” Anusandhan, K8, Kalinganagar, Bhubaneswar, 751003, Odisha, India, e.mail: drskdhar@gmail.com
Online published on 31 March, 2020.
Dengue virus infection is being recognised to manifest with various systemic impairments. WHO has coined ‘EXPANDED DENGUE’ to denote such complications and atypical presentations. Here we present a case of Dengue who presented with PUO, bleeding, pain abdomen, vomiting and itching. She was noted to have fever, tachycardia, anaemia, thrombocytopenia, deranged liver function, acute pancreatitis, urinary abnormalities, rhinorrhea and pruritus. Her hospitalisation period was a stormy one posing both diagnostic and therapeutic problem. While recovering she exhibited neutropenia suggesting concomitant Evans syndrome. The different haematological and biochemical parameters also mimic that of HELLP syndrome.
