Presenting problems
- Persistent high fever
- Severe weakness and abdominal symptoms
- Bleeding tendency
- Cold extremities and reduced urine
Severe Dengue Shock with Multiple-Organ Dysfunction
A severe mosquito-borne infection with shock and organ involvement was managed through close fluid titration and critical-care monitoring.
Clinical presentation
How the case presented
This anonymized summary focuses only on clinically relevant features and contains no patient identifiers.
Examination findings
- Shock physiology
- Plasma leakage
- Falling platelet count with organ stress
Diagnostic reasoning
Investigations & final diagnosis
Investigations were selected according to clinical presentation and severity.
Serial CBC and haematocrit
Dengue testing
Liver and kidney function
Coagulation profile
Ultrasound and bedside haemodynamic assessment
Final DiagnosisSevere dengue with shock and evolving multiple-organ dysfunction.
Evidence-based care
Management pathway
Internal Medicine, Critical Care, laboratory, blood-bank coordination and trained nursing teams used frequent reassessment to guide care.
Carefully titrated fluid resuscitation
Frequent haemodynamic and haematocrit assessment
Blood-component support only when clinically indicated
Organ-support treatment
Monitoring for fluid overload during recovery phase
Technology usedUltrasoundABGMultiparameter Monitoring
Hospital facilities usedICULaboratoryBlood Bank CoordinationRadiology
Multidisciplinary contributors
Treating team
Roles are shown to explain the collaborative care pathway.
Clinical outcome
Outcome and follow-up
Shock resolved, organ functions recovered and blood counts improved without avoidable fluid-related complications.
Hydration, activity restriction during recovery and repeat counts were advised.
Teaching value
Key learning points
Concise clinical principles highlighted by the case.
Warning signs may appear as fever begins to settle
Fluid therapy in dengue requires precision
Platelet count alone does not determine transfusion
Haematocrit trends guide clinical reasoning
Recovery phase needs monitoring for overload
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All clinical cases published on this website are anonymized. Personal identifiers have been removed or modified to protect patient confidentiality. These case summaries are for educational purposes only and do not replace medical consultation.