Dengue Fever Mimicking as Granulomatosis with Polyangiitis: An Unsolved Diagnostic Dilemma

JOURNAL TITLE: Journal of Postgraduate Medicine, Education and Research

Author
1. Yuvraj Singh Cheema
2. Amanjot Kaur
3. Raveena Bedi
4. Ankit Chhabra
5. Baldeep Kaur
ISSN
2277-8969
DOI
10.5005/jp-journals-10028-1578
Volume
56
Issue
4
Publishing Year
2022
Pages
3
Author Affiliations
    1. Department of Internal Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Ambala, Haryana India
    1. Department of Orthodontics and Dentofacial Orthopedics Dasmesh Institute of Research & Dental Sciences, Faridkot Punjab, India
    1. Department of General medicine, Government Medical College and Hospital, Chandigarh, India
    1. Department of General medicine, Government Medical College and Hospital, Chandigarh, India
    1. Department of Radiodiagnosis, Government Medical College and Hospital, Chandigarh, India
  • Article keywords
    Dengue, Granulomatosis with polyangiitis, Vasculitis

    Abstract

    Hemorrhagic manifestations are well documented with dengue fever (DF) but thrombotic/thromboembolic events complicating acute dengue illness are only scarcely reported in the literature. Here we present a case of a DF complicated by multiple brain infarcts along with pulmonary hemorrhage. The simultaneous occurrence of hemorrhagic and embolic phenomena in presence of thrombocytopenia provoked us to rule out the differential diagnosis of an underlying vasculitic disorder which would then have altogether diverse management.

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