Abstract
Dengue fever is a dreaded arboviral infection of utmost global importance having 4 serotypes: DENV1, 2, 3, and 4. Dengue fever and severe dengue are the two clinical spectrums commonly classified. However, unusual or atypical manifestations are often overlooked causing significant fatality. This series of 6 case of dengue fever fill the lacunae of knowledge gaps. Case presentation: All the 6 cases presented to Max Super Specialty Hospital, Vaishali from august to October of 2021. The mean age does 40.83 years (range 23-69 years) comprise 5 male and 1 female. The group had life threatening complications like ischemic stroke, intracranial hemorrhage, subdural hematoma, encephalitis, cardiomyopathy, acute myocardial infraction, acute kidney injury, acute liver failure, which were atypical manifestations in dengue patients. Conclusions: Dengue is one the biggest challenge to public health all over world, especially developing countries like India. Dengue fever presenting with atypical manifestations cause delay in diagnosis, leading to fatal outcome. Clinicians should be well aware of these atypical manifestations of such a common arboviral disease as these are often underreported and overlooked.
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