Indian Journal of Critical Care Case Report

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VOLUME 2 , ISSUE 2 ( March-April, 2023 ) > List of Articles


Recurrent Fever in Dengue? Think of This!

Aayush Chawla, Nitish Parmar, Riddhi Kundu, Vandana Saluja

Keywords : Dengue, Fever, Hemophagocytic lymphohistiocytosis, Severe dengue, Tropical fever

Citation Information : Chawla A, Parmar N, Kundu R, Saluja V. Recurrent Fever in Dengue? Think of This!. 2023; 2 (2):49-50.

DOI: 10.5005/jp-journals-11006-0051

License: CC BY-NC 4.0

Published Online: 06-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Dengue is one of the commonest causes of fever in India. Also known as “break-bone fever” and “7-day fever,” dengue most often causes fever lasting for a few days, severe body aches, and thrombocytopenia. Although rare, viral infections, including dengue, can trigger another autoimmune, life-threatening condition called hemophagocytic lymphohistiocytosis (HLH). Clinical case: We describe one such case of dengue complicated by HLH, which was diagnosed and treated successfully. Conclusion: Diagnosis of HLH in the critically ill requires a high degree of suspicion, as it mimics sepsis, severe dengue etc. One clue to suspect HLH-complicating dengue is a recurrent fever after initial defervescence and a new fever occurring beyond 7 days of onset.

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