Expanded dengue syndrome: Rare case report

Background: Dengue fever caused by dengue virus can unlikely present as various organ manifestations including purpura fulminans and peripheral gangrene. Case report: We report a case of 18 year old female with purpura fulminans with symmetrical peripheral impending gangrene secondary to DIC following dengue infection. Patient admitted in medicine ICU with complain of fever, headache, malaise, generalised erythematous rashes. On day4 patient developed blackening of both hand and feet. On detailed clinical examination and relevant investigation ,after excluding all the other causes ,we found that the cause of purpura fulminans was dengue fever. Discussion: Purpura fulminans is a rare presentation of dengue fever and can be fatal. So its early identification is crucial for timely management. We managed our patient with LMWH (Enoxaparin), Aspirin and FFP and patient was dramatically improved. Conclusion: Purpura fulminans in dengue fever associated with DIC is very rare. It can lead to significant morbidity and mortality and can be fatal. By prompt diagnosis and appropriate management we can save the life of patient.