Dengue is spreading at an alarming rate this season. It has now emerged as a public health concern in Maharashtra. Pune has recently witnessed a case with a severe manifestation of this dreadful disease.
Sheetal Shinde is a 22-year-old woman who is a thalassaemia patient since the last fifteen years. She is suffering from dengue was recently admitted to Noble Hospital in Pune. She was unconscious at the time of being admitted.
She showed several complications which are not commonly seen among other dengue cases. While being admitted to the hospital, her blood pressure was very low and also her haemoglobin levels had plummeted. Her body was very swollen and she was breathless, informed doctors.
Dr Reema Kashiv, MD, Intensive Medicine, at Noble Hospital in Pune, said, “Her liver functioning had deteriorated. Her haemoglobin was as low as five. In the case of thalassemia, we had to take additional precaution as here haemoglobin was dangerously low. This case was challenging for us as she was thalassaemia patient too.”
Doctors performed certain tests on her to confirm dengue fever associated with Hemophagocytic Lymphophistocytosis (HLH) syndrome. It has a mortality rate of 58 per cent. Only a handful of these kinds of cases are reported in medical literature and its occurrence is more among children.
Doctors said she had even suffered from a minor brain stroke. Her bilirubin had become very low.
“In these types of complex dengue cases, one must have a high clinical suspicion and only then, targeted treatment for dengue can be started. Also, the patient should approach the hospital early. We gave her steroids and other corrective treatment measures were followed,” said Dr Kashiv.
Shinde said, “This is the 16th day since I was admitted to the hospital, I will soon be discharged. The battle was tough in the initial days, but i did not lose hope and followed everything that the doctor asked me to.”