Christine Veronica F. Escarpe
bs aquino drive, dr pablo o. torre memorial hospital ,Maternal-Fetal Medicine
Title: Below the Limit: A case of Dengue in Pregnancy
Biography
Biography: Christine Veronica F. Escarpe
Abstract
Dengue, a mosquito-borne flavivirus infection, has affected more than a 100 countries in the WHO regions, including South East Asia and the Western Pacific. It is transmitted by the Aedes Egypti which can survive year round in tropical and subtropical climates. It is endemic in the Phillipines, with reports from the Department of Heath showing a total of 69,0888 cases in a span of 7 months from January 01- July 2018. Knowledge regarding the effects of Dengue fever in pregnancy, however, remains limited. This presentation aimed to determine the impact of Dengue Fever in Pregnancy. This is a case of a 35 year old, G2P0 (0010) at 39 weeks age of gestation who was admitted for intermittent fever of 3 days duration. On admission, nonstructural protein 1 antigen was positive. She was managed as Dengue Fever with warning signs. Patient developed rashes, epigastric pain, headache and mild bleeding episodes. However, serial complete blood count showed a decreasing trend in the platelet to a lowest of 16,000 x 109/L, thus, patient was transfused with 11 units of platelet concentrate prior to delivery. On the fifth hospital day, patient delivered to a live, baby girl who was found to be Dengue IgG positive. Blood transfusion was given to the mother who developed postpartum hemorrhage with 2 liter of blood loss, while supportive treatment was done for the neonate. Both were discharged improved on the eight hospital day.