In medicine one plus one is not equal to dengue. Report of a case

Abstract

Dengue is a benign syndrome caused by several viruses transmitted by arthropods and is characterized by biphasic fever, myalgias or arthralgias, rash, leukopenia and lymphadenopathy. Between epidemiological weeks (EW) 1 and 25 of 2024, a total of 10,363,448 suspected cases of dengue were reported. Objective: To evaluate the clinical and paraclinical characteristics of dengue in the face of an atypical evolution. Methodology: This is a descriptive investigation of both clinical and paraclinical characteristics through analysis in a patient with an atypical evolution of dengue. A clinical case is presented of a female schoolchild, 6 years + 1 month old, who presented an unquantified rise in temperature five days prior to admission, adding to the fourth day edema in the face and lower limbs. The physical examination revealed fever, tachycardic, tachypneic, desaturated, in anasarca, marked mucosal skin pallor. Paraclinical findings: anemia, leukocytosis, positive procalcitonin, elevated TGO and TGP, prolonged clotting times, hypoalbuminemia, positive Dengue IgM serology with ascites on abdominal echosonogram and right-sided pneumonia with bilateral pleural effusion on chest x-ray. Result: Patient with favorable evolution who through studies and discussion of cases was managed appropriately, presenting at the same time with a process of superinfection, being discharged after 10 days of intra-hospital evolution. Conclusion: Exhaustive interrogations together with the support of the clinic and paraclinical tests are the tools in the face of an atypical evolution of any pathology.