Sahel Medical Journal

CASE REPORT
Year
: 2021  |  Volume : 24  |  Issue : 3  |  Page : 140--144

Neonatal dengue as never before - A case series


Alimelu Madireddi1, Vinod Kumar Mandala2, Narahari Bapanpally2, Rakesh Kotha1, Kalyan Chakravarthy Konda1, R Haripriya2 
1 Department of Neonatology, Niloufer Hospital, Osmania Medical College, Telangana, India
2 Department of Pediatrics, Niloufer Hospital, Osmania Medical College, Telangana, India

Correspondence Address:
Dr. Rakesh Kotha
Niloufer Hospital, Hyderabad, Telangana
India

Dengue is a Flavivirus, affecting about 100 million people annually and mainly in the tropical and subtropical countries. Neonatal dengue is uncommon and usually by vertical transmission or, in the postnatal period, by horizontal transmission. We describe the clinical profile, management and outcome of neonates with dengue infection. Ten patients were prospectively recruited from August to November 2019 during dengue epidemic season at Niloufer Hospital, Hyderabad, India. Four babies had vertical mode of transmission while 6 had horizontal mode of transmission. All babies were positive for Ns1 antigen and IgM dengue serology, confirming dengue infection. Fever, flushing and thrombocytopenia were observed in all the babies while 2 babies had hypotension requiring inotropes. Oxygen supplementation was required in 8 babies. There was no recorded mortality. We conclude that neonatal dengue should be considered as a differential diagnosis in a neonate with sepsis and thrombocytopenia especially in endemic regions. Judicious use of fluids (avoid excessive) and inotropes (dopamine) form the cornerstone of dengue management in neonates.


How to cite this article:
Madireddi A, Mandala VK, Bapanpally N, Kotha R, Konda KC, Haripriya R. Neonatal dengue as never before - A case series.Sahel Med J 2021;24:140-144


How to cite this URL:
Madireddi A, Mandala VK, Bapanpally N, Kotha R, Konda KC, Haripriya R. Neonatal dengue as never before - A case series. Sahel Med J [serial online] 2021 [cited 2024 Mar 28 ];24:140-144
Available from: https://www.smjonline.org/article.asp?issn=1118-8561;year=2021;volume=24;issue=3;spage=140;epage=144;aulast=Madireddi;type=0