Abstract
Dengue fever is a mosquito borne arboviral infection which is a major health problem worldwide. Complications vary widely and become critical mostly during defervescence period. Dengue fever in pregnant women can cause variety of obstetric and neonatal complications. Sheehan’s syndrome (SS) is a parturition-related pituitary disease resulting from severe postpartum haemorrhage and can present with varying degrees of pituitary insufficiency. Emergency anaesthetic management of a dengue parturient and SS which developed subsequently, secondary to profuse intrapartum bleeding is discussed.
Highlights
Dengue fever is a common arboviral infection endemic to tropical and sub-tropical regions of the world
We report a case of severe dengue fever complicating labour in a 36wk pregnant mother leading to Sheehan’s syndrome (SS) in the post-operative period
In view of severe blood loss, intraop hypoxaemia and metabolic acidosis, the patient was shifted to Intensive Care Unit (ICU) for further management
Summary
Dengue fever is a common arboviral infection endemic to tropical and sub-tropical regions of the world. Its manifestations vary widely from a mild febrile illness to severe haemorrhagic shock with multiorgan failure. Risk of mortality from dengue fever is 2.5%1, higher if pregnant. Dengue in pregnancy can affect both mother and child, with complications including miscarriage, preeclampsia, increased risk of maternal haemorrhage, preterm delivery and low birth weight.[2]
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