Pregnancy with Dengue Haemorrhagic Fever

Mohd Andalas, Febrina Yolanda, Ashabul Anhar, Romi Sattria

Faculty of Medicine Syiah Kuala University/Zainoel Abidin General Hospital,
Banda Aceh

INTRODUCTION
Dengue Haemorrhagic Fever is severe infection disease caused by a virus affect
capillary and coagulation system, thus bleeding and death. Dengue
haemorrhagic fever in pregnancy could lead prematurity, intrauterin fetal death,
and electrolytes imbalance for mother.

Case A 32
years-old pregnant woman at
Woman, 30 years old, in pregnancy 20 Speculum examination: Smooth portio,
weeks with fever for 4 days, nausea and OUE closed, no fluxus and fluor.
vomitus Laboratory: Hb 12,0 mg/dL, Ht 36%, RBC
Vital sign: Compos mentis, blood pressure count 4,9 x 106/mm3, WBC count 3,8 x
90/60 mmHg, pulse rate 88 bpm, 103 /mm3, platelet count 62 x 103/mm3,
respiratory rate 20 tpm, temperature was Serology: Ig G anti dengue (+), and Ig M
o
37,8 C anti dengue (+).
Physical examination: Petechiae in lower Ultrasound: Single intrauterin fetal,
extremity estimated gestational age from fetal
Obstetric examination: fundal height about biometry was 19 weeks 2 days, Fetal
2 finger below umbilicus. His was negative heart rate (+), estimated fetal weight
and fetal heart rate was 165 bpm was 279 gram.
Genitalia examination: No discharge in vulva and
uretra.

CONCLUSION
Pa tie nt w as ob serve d
in Zain oe l A b id in
In case,
patient had In case, fetal H ospital for 3 days.
Tre atm ent include b e d
fever for four in good rest, fluid th erapy w ith
days, nausea condition: crystaloid and d rug s
D engue for sym ptom s
and vom
Feveritus
w as: caused C rystaloid w as
haem orrhagic
by inflam m ation. given for
fever in
In addition, circulation fluid
pregnancy could
inflam m ation volum e
leadprem aturity,
could lead m aintenance and
intrauterin fetal
increase of flu id therapy is
death, and
perm eab ility thus the m ost
electrolytes
circulation and im portant
im balance for
haem ostasis therapy for this
m other
disord er . case .
Reference:
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