Work

Massive suprachoroidal hemorrhage in dengue-associated HLH: A clinical image

Year: 2025

Type: article

Abstract: Dengue fever can manifest with severe hemorrhagic complications, though ocular involvement is rare. We report a unique case of a 44-year-old male with dengue hemorrhagic fever complicated by secondary hemophagocytic lymphohistiocytosis (HLH) and severe thrombocytopenia, who developed a massive suprachoroidal hemorrhage culminating in spontaneous auto-evisceration and requiring surgical evisceration. To our knowledge, this is the first reported case of dengue-associated HLH presenting with such a catastrophic ocular complication. This case underscores the importance of early ophthalmic evaluation and multidisciplinary intervention in systemic viral illnesses.

Source: IDCases

DOI: 10.1016/j.idcr.2025.e02371

Authors: Jessel Dsouza, May D'souza

Institution: Father Muller Medical College Hospital

Language: English

Topic: Mosquito-borne diseases and control

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,370