DENGUE AND CAESAREAN SECTION

Abstract

Dengue is an endemic disease present
In more than 125 countries in tropical and 125 subtropical zones, 390 million infected people are reported annually, of which only 96 million present clinical signs, caused by the dengue virus, an arbovirus of the Flavivirus genus of the Flaviviridae family, whose vector is the Aedes aegypti mosquito. Thrombocytopenia, shock and death are described among the main complications of its infection, however, the clinical presentation during pregnancy can be a diagnostic challenge due to the physiological changes experienced by the pregnant woman. The complications of dengue during pregnancy are not widely described in the literature and there are no specific management protocols for its obstetric management. The case of a 21-year-old primiparous patient with a 36-week pregnancy, referred to the third level due to evidence of platelet levels of 24,000 units and a positive dengue test, is presented. She underwent an emergency operation, reporting 400 ml of trans-surgical bleeding, subsequent recovery in intensive care and discharge successfully.