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Challenges in a unique presentation of congenital dengue with congenital heart disease
  1. Aravind Swaminathan1,
  2. Suresh Kirupanandhan2 and
  3. Ezhilarasan Rathnavelu2
  1. 1 Paediatric Intensive Care, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2 Neonatology, Vijaya Hospital, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Aravind Swaminathan, Aravind.Swaminathan{at}


Vertical transmission of dengue has been documented and is associated with diverse presentations in newborns. Care of such babies requires meticulous support to maintain homeostasis until the baby recovers. We present a neonate diagnosed with congenital dengue, born to a mother diagnosed with dengue on the second day after delivery. Baby was diagnosed by serological tests, underwent appropriate management in neonatal intensive care but was noted to have had coexistent persistent ductus arteriosus and pulmonary hypertension complicating pneumonia and seizures. Management of the baby was complicated by persistent haematological derangements caused by dengue and haemodynamic alterations caused by the heart disease.

  • tropical medicine (infectious disease)
  • neonatal intensive care
  • epilepsy and seizures
  • pulmonary hypertension

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  • Contributors ER was the chief consultant who managed this baby and conceived, reviewed and edited the article. SK was registrar involved in patient care in NICU and proofread the article. AS was part time registrar involved in patient care who compiled the case report and performed literature search.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

  • Patient consent for publication Parental/Guardian consent obtained.

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