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Retinal Hemorrhage in Dengue Hemorrhagic Fever

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A 23-year old female presented in our ER with petechiae on both her arms. She had a history of acute onset of fever 5-days prior to hospitalization. On physical examination there was no longer fever or other significant abnormality. Her laboratory results showed bisitopenia (Hb 13.4g%, Ht 43%, L3200/mm3, thrombocyte 16.800 mm3) and positive results for IgM and IgG anti dengue. She was then admitted with the diagnosis of dengue hemorrhagic fever.

On the second day of admission, she complained of blurring of vision on her left eye. We then consulted her problem to Ophtalmology Department. Her laboratory results on that day showed Hb 12.4g%, Ht 39%, L 2800/mm3, Thrombocyte 12.400 mm3. From the optical coherence tomography evaluation conducted, there was retinal detachment on her left eye, possibly an opthalmic complication of dengue hemorrhagic fever. Unfortunately, other condition such as autoimmune disease was not evaluated since no clinical symptoms were found from the anamnesis of recent or past history of illness.

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Acta Medica Indonesiana:43(1) 2011:66-73

Publisher

Jakarta : Indonesian Journa of Medicine., 2011

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7p.

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0125-9326

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