Severe Thrombotic Events Associated with Dengue Fever, Brazil

Paulo Sérgio Gonçalves da Costa Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Juiz de Fora, Minas Gerais, Brazil; Suprema Medical School, Juiz de Fora, Minas Gerais, Brazil

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Geyza Machado Ribeiro Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Juiz de Fora, Minas Gerais, Brazil; Suprema Medical School, Juiz de Fora, Minas Gerais, Brazil

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Cleber Soares Junior Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Juiz de Fora, Minas Gerais, Brazil; Suprema Medical School, Juiz de Fora, Minas Gerais, Brazil

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Lenilton da Costa Campos Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Juiz de Fora, Minas Gerais, Brazil; Suprema Medical School, Juiz de Fora, Minas Gerais, Brazil

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Dengue fever has been a major problem in hospital settings in Brazil for the past 15 years. The main concern has been the severe forms, i.e., dengue hemorrhagic fever and dengue shock syndrome. Hemorrhagic events of different degrees have also been a major concern. We report five cases of large vein thrombotic events associated with the acute phase of dengue fever, including a previously non-reported case of mesenteric vein thrombosis. Complications such as these could have been overlooked in the diagnosis of dengue fever, given that the major concern is the hemorrhagic event.

Author Notes

*Address correspondence to Paulo Sérgio Gonçalves da Costa, Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Rua Pasteur 164-1001, A Zip code: 36015-420, Juiz de Fora, Minas Gerais, Brazil. E-mail: psgcosta@acessa.com

Authors' addresses: Paulo Sérgio Gonçalves da Costa, Geyza Machado Ribeiro, Cleber Soares Junior, and Lenilton da Costa Campos, Hospital Monte Sinai, Juiz de Fora, Minas Gerais, Brazil, E-mails: psgcosta@acessa.com, geyza@laboratoriomontesinai.com.br, cleberdoc@ig.com.br, and leniltoncampos@yahoo.com.br.

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