|How to cite this article:
Joob B, Wiwanitkit V, Err H. CNS hemorrhage as clinical manifestation of dengue. Ann Trop Med Public Health 2014;7:151-2
|How to cite this URL:
Joob B, Wiwanitkit V, Err H. CNS hemorrhage as clinical manifestation of dengue. Ann Trop Med Public Health [serial online] 2014 [cited 2017 Nov 14];7:151-2. Available from: https://www.atmph.org/text.asp?2014/7/2/151/146455
Dengue is an important tropical infection. Hemorrhage is an important clinical problem in the course of dengue infection. Hemorrhage can manifest at any organs. Brain hemorrhage in dengue is very interesting. In fact, the involvement of brain in dengue is possible and usually forgotten. It is the emerging concern in management of dengue. Brain hemorrhage is included in expanded dengue syndrome. , The profound thrombocytopenia is mentioned as the cause of brain hemorrhage and the spontaneous resolution when dengue illness is improved can be expected. , Kumar et al., noted that this condition has to be kept in mind “in those patients who are disoriented and have altered sensorium”.  However, the occurrence of brain hemorrhage in the case with dengue shock can be serious and leads to death.  The occurrence of brainstem hemorrhage can be a very serious fatal situation.  Focusing on fatal dengue cases, the brain hemorrhage is a common finding.  It is advisable that the regular evaluation of neurological signs and symptoms in any dengue patients should be done since early detection and management of the possible neurological complication can result in good outcome.
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