Abstract
Abstract Dengue fever poses a significant public health challenge in India, particularly in regions like Kerala where cases have surged in recent years. The disease spectrum ranges from mild symptoms to severe manifestations such as dengue hemorrhagic fever and shock syndrome. Atypical presentations such as myocarditis further complicate management, highlighting the need for prompt recognition and appropriate intervention. We present a case of a 25-year-old male with dengue fever complicated by myocarditis and subsequent septicemia. The patient required intensive care support and empirical antibiotics, initially with piperacillin/tazobactam and later tailored to meropenem based on culture sensitivity. His clinical course improved significantly following targeted antibiotic therapy, underscoring the importance of early detection and appropriate management of concurrent bacterial infections in dengue patients to mitigate morbidity and mortality. This case exhibits the complex interplay between viral infections and secondary bacterial complications, urging clinicians to maintain a high index of suspicion for bloodstream infections in dengue patients for optimal outcomes.
Published Version
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