Publication: Dengue Fever in a Neonate: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Dengue is one of the most common viral infections affecting the general population in endemic areas annually. However, it is barely reported in newborns owing to a widespread belief that they are protected from severe viral infections in the first six months of life by the presence of maternal antibodies. Here we present a case of a 23-day-old male infant born to primigravida with dengue fever with the post-natal transmission of infection. He presented with complaints of fever for three days. On general examination, red-coloured pinpoint macular rashes were observed bilaterally on lower limbs. No significant findings were present on systemic examination. On routine sepsis workup, thrombocytopenia was present. Acknowledging the endemicity and expanding dengue cases, NS1 antigen and antibody IgM and IgG of the baby were tested which came positive for antigen and IgM antibody. Even so, the mother was asymptomatic with NS1 antigen, IgG and IgM antibodies negative with a normal range of platelet count.
Description
Chaitanya Darshan Bhattarai
Department of Pediatrics, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
Birendra Kumar Yadav
Telemedicine Center COVID-19 Unified Central Hospital, Bir Hospital, Kanti Path, Kathmandu, Nepal
Rabin Basnet
Telemedicine Center COVID-19 Unified Central Hospital, Bir Hospital, Kanti Path, Kathmandu, Nepal
Manish Karki
Telemedicine Center COVID-19 Unified Central Hospital, Bir Hospital, Kanti Path, Kathmandu, Nepal
Shanta Chauhan
Department of Emergency Medicine, Himal Hospital, Thirbum Marg, Kathmandu, Nepal
Keywords
Case report, Dengue fever, Neonates, Nepal