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Journal of Tropical Medicine
Volume 2010, Article ID 413561, 3 pages
Case Report

Fatal Fulminant Hepatic Failure in a Diabetic with Primary Dengue

Department of Medicine, Pondicherry Institute of Medical Sciences, Kalapet, Pondicherry 605014, India

Received 30 September 2010; Accepted 13 December 2010

Academic Editor: Ib Christian Bygbjerg

Copyright © 2010 Stalin Viswanathan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a 49-year-old diabetic with dengue hemorrhagic fever who developed fulminant hepatitis, severe coagulopathy, shock, and refractory metabolic acidosis and died on the eighth day of illness. This is the only second report of an adult with fatal fulminant hepatic failure due to dengue, and the first case arising from a primary dengue infection.