Ruptura esplênica espontânea na dengue hemorrágica: relato de caso

• Autor(a) principal: Alves Feitoza Neto, Pedro
• Data de Publicação: 2023
• Outros Autores: Pereira Fontoura, Renata, Barbosa Ribeiro, Anna Claudia, Brandão de Oliveira Santos, Giovanna, Neves Brito de Miranda, Iole, Alves Freitas, Marcelo Aron
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Health Residencies Journal (HRJ)
• Texto Completo: https://escsresidencias.emnuvens.com.br/hrj/article/view/703
• topic: Ruptura esplênica, Dengue grave, Vírus da dengue, Dengue hemorrágica

ABSTRACT INTRODUCTION: Dengue infection has a wide clinical spectrum and ranges from milder symptoms to more severe forms. Splenic rupture is a serious and rare complication of dengue and its pathophysiology is not well understood. OBJECTIVE: To report the case of a patient who was diagnosed with dengue and evolved with splenic rupture that resulted in hemorrhagic shock and required surgical management. DESCRIPTION: J.S.S., 33 years old, male, with a previous diagnosis of Dengue, developed a complaint of sudden intense abdominal pain and hypotension. He performed a CT scan of the abdomen which suggested hemorrhage. The patient underwent splenectomy. CONCLUSION: The early diagnosis of splenic rupture is essential for a favorable clinical outcome, with a significant reduction in morbidity and mortality, as presented in the clinical case. KEYWORDS: Splenic rupture, Severe dengue, Dengue virus, Dengue hemorrhagic fever, Hemorrhagic Dengue.