Dengue Hemorrhagic Fever with Disseminated Intravascular Coagulation

DENGUE HEMORRHAGIC FEVER WITH DIC S. C. AUNDHAKAR1, BHAVIK S. SHAH2, SWETABH S. ROY2 1. Professor and head of Department of Internal Medicine, KIMS, Karad.2. Post Graduate Residents, Departement of Internal Medicine, KIMS, Karad. Dengue fever is the worlds most important viral hemorrhagic fever disease, caused by arbovirus having four antigenically virus serotypes of the family flaviviridae. It causes wide clinical spectrum of disease. We report a case of dengue hemorrhagic fever complicated by DIC. The initial picture of classical dengue fever was followed by vomiting, hematemesis and hematochzia. Severe liver injury with SGOT more than 1000U/lt and SGPT 694 IU/lt with hematocrit of 52.4 %, platelet count less than 15, 000 and deranged coagulation profile with INR -8.4 and aPTT -52.4 sec, with DIC score of 7.