PEDIATRICS Vol. 66 No. 4 October 1980, pp. 631-633
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Spigelblatt, L.
Right arrow Articles by Laverdiere, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Spigelblatt, L.
Right arrow Articles by Laverdiere, M.

Dengue Hemorrhagic Fever in North America: A Case Report

Linda Spigelblatt MD, FRCP1, Robert Rosenfeld MD1, Yvette Bonny MD, FRCP1, and Michel Laverdiere MD1

1 Departments of Pediatrics, Medicine, and Microbiology, Maisonneuve-Rosemont Hospital, University of Montreal, Faculty of Medicine, Montreal

Dengue hemorrhagic fever, a severe, often fatal, illness, occurs mostly in children and is characterized by a hemorrhagic diathesis, fever, vomiting, a maculopapular rash, liver involvement, and occasionally, a protein-losing shock syndrome.1 This disease is to be differentiated from dengue fever, a relatively benign disease occurring primarily in adults and manifested by myalgia, arthralgia, bone pain, and leukopenia. Cases of dengue fever in North America have been described among travellers from the Carribean.2-6 Dengue hemorrhagic fever is an epidemic disease described after World War II and limited to areas of Southeast Asia, India, and the Pacific islands.7-8

We believe this to be the first reported case in North America of dengue hemorrhagic fever with disseminated intravascular coagulation in a child of Southeast Asian origin.