Symmetrical peripheral gangrene in patients of dengue fever: a rare case presentation

Introduction: Dengue fever caused by dengue virus can unlikely present as different organ manifestation and rarely as peripheral gangrene. Case report: We report a case of 40 years old female who developed peripheral gangrene of toes following dengue infection. Patient was admitted in medicine ward with complain of fever with chills following which on day 7 patient developed black discolouration of toes rapidly progressive & involving all the toes. On detailed clinical examination and relevant investigation, we found that the cause of peripheral gangrene was dengue fever. Discussion: Peripheral gangrene is a rare presentation in patients of dengue fever. And its early identification is crucial for timely management. we managed our patient with broad spectrum antibiotics, IV fluids, High dose steroids, anticoagulants and supportive treatment. Conclusion: Peripheral gangrene in dengue associated with vasculitis is very rare and can cause significant morbidity and mortality. So its timely diagnosis and management is crucial.