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Author ORCID Identifier

Orcid id: 0000-0002-5534-4340

Corresponding Author

Dr Manoj Seval

Senior Resident, Dept. of Internal Medicine, Government Medical College, Kota

Room Nu 209, PG Hostel 2nd, Govt. Medical College, Kota

Pin: 324005

Phone: 9694919493

E-mail – [email protected]

Abstract

Dengue fever is an arboviral infection typically characterized by thrombocytopenia and hemoconcentration. However, hematological manifestations may differ in patients with underlying hemoglobinopathies. We report a case of 18-year-old female diagnosed with dengue fever (IgM ELISA positive), presented with persistent fever, vomiting, and myalgia. Laboratory evaluation revealed moderate microcytic anemia (Hb 9.7 g/dL, MCV 54.7 fL) with a low Mentzer index (8.7). High-performance liquid chromatography confirmed β-thalassemia trait (HbA2 4.6%). Contrary to the typical presentation of dengue, the patient had elevated platelet counts at admission (584,000/µL), which remained within normal to high range during hospitalization. This case highlights that dengue infection may occur without thrombocytopenia, particularly in patients with underlying hemoglobinopathies. Clinicians should not exclude dengue solely on the basis of a normal platelet count.

Publication Date

2023

Publisher

JSS Academy of Higher Education & Research

Conflict of Interest

There is no conflict of interest for this research article.

Keywords

Dengue Fever, Thalassemia, Hemoconcentration, Anemia

Word Count

901

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

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