Abstract

Dengue infection during the peripartum period is always a challenging situation for the obstetrician as well as other clinical departments involved in the management for these patients. The risk increases to a greater instant if the infection occurs during the third trimester as it possesses the risk of serious bleeding during parturition. In this case report, we will see the incidence and management of dengue fever in a peripartum female.

• 1.   Tan PC, Rajasingam G, Devi S, Kandasamy R, Jamil MA, Jamil A, et al. Dengue infection in pregnancy: prevalence, vertical transmission, and pregnancy outcome. Obstet Gynecol. 2008;111(5):1111–7. doi:10.1097/AOG.0b013e31816a49fc.
• 2.   Chansamouth V, Thammasack S, Phetsouvanh R, Keoluangkot V, Moore CE, Blacksell SD, et al. The Aetiologies and Impact of Fever in Pregnant Inpatients in Vientiane, Laos. PLoS Negl Trop Dis. 2016;10:e0004577.
• 3.   Paixao ES, Teixeira MG, Costa Mda C, Rodrigues LC. Dengue during pregnancy and adverse fetal outcomes: a systematic review and meta-analysis. Lancet Infect Dis. 2016;16(7):857–65.
• 4.   Pouliot SH, Xiong X, Harville E, Paz-Soldan V, Tomashek KM, Breart G, et al. Maternal dengue and pregnancy outcomes: a systematic review. Obstet Gynecol Surv. 2010;65(2):107–18.
• 5.   Sharma S, Jain S, Rajaram S. Spectrum of Maternofetal Outcomes during Dengue Infection in Pregnancy: An Insight. Infect Dis Obstet Gynecol. 2016;2016:5046091.
• 6.   Halstead SB. Pathogenesis of dengue: Challenges to molecular biology. Science. 1988;239(4844):476–81.
• 7.   Arshad I, Malik FA, Hussain A, Shah SA. Dengue fever: Clinico-pathologic correlations and their association with poor outcome. Professional Med J. 2011;18(1):57–63.
• 8.   American College of Obstetricians and Gynecologists: ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: postpartum hemorrhage. Obstet Gynecol. 2006;108(4):1039–47.
• 9.   World Health Organization (WHO)/TDR. Hand book for clinical management of dengue. Geneva, Switzerland: World Health Organization; 2012. p. 124.
• 10.   Lye DC, Lee VJ, Sun Y, Leo YS, Wong J, Merchant AE, et al. Lack of efficacy of prophylactic platelet transfusion for severe thrombocytopenia in adults with acute uncomplicated dengue infection. Clin Infect Dis. 2009;48(9):1262–5. doi:10.1086/597773.
• 11.   De Azeredo EL, Monteiro RQ, de-Oliveira Pinto LM. Thrombocytopenia in Dengue: Interrelationship between Virus and the Imbalance between Coagulation and Fibrinolysis and Inflammatory Mediators. Mediators Inflamm. 2015;2015:313842. doi:10.1155/2015/313842.

Data Sharing Statement

Funding