You are here

Article Text

Article menu
Download PDFPDF
Unusual presentation of more common disease/injury
CASE REPORT
Spontaneous calf haematoma in severe dengue
  1. Ahmad Mursel Anam1,
  2. Raihan Rabbani1,
  3. Farzana Shumy2
  1. 1Intensive Care Unit, Square Hospitals Ltd, Dhaka, Bangladesh
  2. 2Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  1. Correspondence to Dr Ahmad Mursel Anam, murselanam{at}gmail.com

Summary

We report a case of spontaneous calf muscle haematoma, formed during the recovery phase of dengue haemorrhagic fever, which, to the best of our knowledge, has never been encountered before. A 45-year-old man presented with features of severe dengue and got admitted to our intensive care unit. He was treated with intravenous fluid therapy and supportive measures, and gradually improved, initially. However, during the recovery phase, he suddenly developed painful left calf, which was found tender, hot and swollen on physical examination. Colour Doppler ultrasound revealed left calf haematoma. As the patient rapidly developed local compartmental syndrome, surgical evacuation of the haematoma followed by urgent fasciotomy was performed. He recovered without further complication and was discharged home. At follow-up after 2 months, he remained well.

  • dengue haemorrhagic fever
  • expanded dengue syndrome
  • atypical feature of dengue
  • spontaneous calf muscle haematoma

https://doi.org/10.1136/bcr-2017-222932

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors AMA and RR: contributed to the conception, design, analysis and interpretation of the data. AMA and FS: responsible for the drafting the article and the final approval of the version to be published; also involved in revising the manuscript critically for important intellectual content. All authors: read and approved the final manuscript.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.