Dengue in Pregnancy

Abstract

Dengue is the most common virus-borne illness transmitted by mosquitoes. Globally, the incidence of dengue increased from 30,668,000 in 1990 to 56,879,000 in 2019. It is a significant issue for global public health, especially in the subtropical and tropical regions. Over 2.5 billion people live in regions where there is a 40% chance of getting dengue virus as reported by the World Health Organization. Tropical regions are been more frequently visited by pregnant women and adults of reproductive age. Consequently, they are being exposed to particular arboviral illnesses like dengue, which may affect both current and future pregnancies. A 24-year-old primigravida with 35 + 2 weeks gestational age was referred to the hospital with eclampsia with thrombocytopenia with dengue IgM positive (mildly) in the emergency department. An emergency lower-segment cesarean section was performed. A 2 kg of male baby was delivered. The patient received conservative care for 10 days, and after that, she was discharged with her baby. There are more incidences of infection during pregnancy, due to the rising occurrence of dengue during adulthood. Conservative therapy should be used, if there are no complications. Early detection and treatment are necessary for dengue during pregnancy. Any pregnant lady with a fever during an epidemic requires a high degree of clinical suspicion. The lack of evidence-based data about the treatment of dengue, especially for pregnancy, necessitates further research.