Infectious Diseases

spontaneous rupture of the spleen due to dengue fever

Thursday, 28 April 2011 06:38
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Spontaneous rupture of the spleen has been described in cases of hematologic, neoplasic and infectious diseases, or resulting from pancreatitis. We report a rare case of spontaneous splenic rupture, and favorable evolution after splenectomy, in a patient with dengue fever, which occurred during the last outbreak of dengue fever in Brazil.


Dengue fever has become a public health concern in Brazil since 1976, when Aedes aegypti, the arthropod vector of the causative virus, was again found in the country. The first epidemic was registered in Roraima, a state in the Amazon, in 1981 and 1982. Rio de Janeiro, which has the second largest Brazilian urban area, suffered its first outbreak in 1986 [1]. A patient infected by a second serotype may present dengue hemorrhagic fever, which can be lethal. Last summer there was a huge outbreak in Rio de Janeiro, with hundreds of patients presenting the hemorrhagic form and about 40 confirmed deaths. We report a case of dengue fever with splenic rupture, which occurred during the last dengue fever outbreak in Brazil.

Last Updated on Thursday, 28 April 2011 07:03