Dengue viral infection can present as a spectrum of disorders ranging from uncomplicated fever to dengue shock syndrome. Dengue fever during pregnancy or delivery is associated with serious complications during pregnancy, especially severe postpartum hemorrhage (PPH) following delivery. Dengue is an uncommon and highly fatal cause of secondary hemophagocytic lymphohistiocytosis (HLH). Both PPH and HLH in a pregnant woman lead to unfavorable outcomes even with appropriate treatment. Here, we report the case of a 28-year-old woman who presented with PPH and HLH following dengue hemorrhagic fever and completely recovered with appropriate treatment.
Keywords: dengue hemorrhagic fever; hemophagocytic lymphohistiocytosis; postpartum hemorrhage; pregnancy; steroids.
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