Expanded Dengue Syndrome with Status Epilepticus in a nine months old boy: A Case Report

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A Noor Fadli Idrus
Idham Jaya Ganda
St Aizah Lawang

Abstract

Dengue fever is a major global public health challenge in tropical and subtropical countries. The clinical spectrum of dengue infection ranges from mild illness to the life-threatening severe forms of the disease with plasma leakage, severe bleeding, or multi-organ failure, which may be fatal. The term expanded dengue syndrome is used for atypical manifestations of dengue fever. This study presented a case of expanded dengue syndrome with status epilepticus in a 9-month-old boy hospitalized with the chief complaint decreased of consciousness with fever and seizures. From the physical examination, there was a decrease in consciousness with GCS 9 accompanied by fever, ascites, and gastrointestinal bleeding. On laboratory examination, hyponatremia, increased transaminase enzymes, and hypoalbuminemia with positive dengue IgM were found. The patient had specific clinical features of expanded dengue syndrome with status epilepticus the appropriate anti-convulsion, vasopressor, and fluid management was given to the patient.


In cases of dengue virus infection, it is important to prevent other potential complications such as expanded dengue syndrome with status epilepticus.  Early diagnosis of expanded dengue syndrome simultaneously with adequate treatment will prevent the complications of the disease.

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