Haemolytic anaemia precipitated by dengue fever

BMJ Case Rep. 2019 Aug 28;12(8):e226760. doi: 10.1136/bcr-2018-226760.

Abstract

We reported a case of a woman with no past medical illness who presented with a few days' history of fever, myalgia, arthralgia, hypochromic microcytic anaemia and thrombocytopaenia and who was nonstructural protein 1 antigen (NS1Ag)-positive. Haemolytic anaemia including full blood picture work-up revealed high reticulocyte count and haemolysis with positive direct Coombs test. She was started on prednisolone and was discharged well.

Keywords: haematology (incl blood transfusion); infectious diseases; tropical medicine (infectious disease).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Hemolytic / etiology*
  • Coombs Test / methods
  • Dengue / blood
  • Dengue / complications*
  • Dengue / drug therapy*
  • Dengue / immunology
  • Diagnosis, Differential
  • Female
  • Fever / diagnosis
  • Hemolysis
  • Humans
  • Prednisolone / administration & dosage
  • Prednisolone / therapeutic use
  • Reticulocyte Count
  • Thrombocytopenia / diagnosis
  • Thrombocytopenia / etiology
  • Treatment Outcome

Substances

  • Prednisolone