Sri Lanka Journal of Medicine (Aug 2022)
First Reported Case of Hydrops Foetalis Following Critical Phase Maternal Dengue Haemorrhagic Fever
Abstract
We report a case of hydrops foetalis due to maternal dengue haemorrhagic fever (DHF). A 19-year-old mother was diagnosed to have DHF with positive NS1 Antigen (NS1) at 39 weeks of gestation. Ultrasound scan revealed fetal hypoxia. Her antenatal period was uneventful with normal antenatal scans. She delivered a 3.3kg baby at 39-weeks gestation via spontaneous vaginal delivery. Baby was diagnosed with non-immune hydrops foetalis due to pleural and peritoneal effusion at birth. Baby developed DHF on day 5 (NS1 positive) and succumbed to a massive pulmonary haemorrhage on day 9.
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