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All Journal Berkala Ilmu Kesehatan Kulit dan Kelamin Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Oceana Biomedicina Journal Journal of Health Sciences Jurnal Ners Asian Journal of Health Research CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal
Renata Prameswari
Fakultas Kedokteran Universitas Hang Tuah
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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A Rare Pediatric Case of Dengue Hemorrhagic Fever with Encephalopathy and Suspected Subdural Hemorrhage Cempakasari, Aulia; Rahmawati, Tiara; Arifin, Alief Qobidh Al Bashor; Syahputri, Dewi; Hutami, Firdha Yekti; Prameswari, Renata; Nugraheni, Pramita Anindya; Adiwinoto, Ronald Pratama; Adnyana, I Made Dwi Mertha
Asian Journal of Health Research Vol. 4 No. 3 (2025): Volume 4 No 3 (December) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i3.262

Abstract

Introduction: Dengue Hemorrhagic Fever (DHF) is a severe arboviral infection that rarely leads to neurological complications. Dengue encephalopathy, often secondary to metabolic disturbances or shock, presents a significant diagnostic and management challenge in the pediatric population. Case Presentation: We report the case of a 4-year-3-month-old obese girl presenting with fever, gastrointestinal symptoms, and progressively decreasing consciousness (apathetic). Diagnosis of DHF was confirmed by a positive NS1 antigen test, severe thrombocytopenia (nadir 14,000/µL), and hemoconcentration with pleural effusion. Hepatic involvement was noted (SGOT 117.81 U/L). Neurological involvement was characterized by clinical encephalopathy, and a head CT scan revealed hyperdense lesions suspecting subdural hemorrhage (SDH). The patient required multidisciplinary management in the Intensive Care Unit (ICU) for supportive fluid therapy, inotropic support (Dobutamine), and platelet transfusion. The patient showed marked clinical improvement and was discharged on day nine. At a two-week post-discharge follow-up, she demonstrated full cognitive and motor recovery with no neurological sequelae Conclusion: This case highlights the critical need for clinical vigilance for rare, simultaneous neurological complications (encephalopathy and suspected SDH) in pediatric DHF. It underscores that early diagnosis and aggressive, multidisciplinary supportive care can lead to complete recovery even in severe presentations.
Co-Authors ADAM, OLIVIA MAHARDANI Adi, R. Gery Susianggara Purnama Adnyana , I Made Dwi Mertha Afif Nurul Hidayati Alvina, Janette Anita Carolina Apriano, Putu Pradika Arifin, Alief Qobidh Al Bashor Arundani, Prima Cempakasari, Aulia Chandra, Lifia Christabella, Jocelyn Cita Rosita Sigit Prakoeswa Delima, Jihan Diah Mira Indramaya Dianawati, Putu Sri Ayu Yulian Effendi, Muchiddin Andri Setyo Hendra Widjajanto Hersana, I Dewa Made Widi Hutami, Firdha Yekti I KETUT TIRKA NANDAKA Janette Alvina Jihan Delima Jocelyn Christabella Joel Timothy Kadek Aris Saputra Mulya Linda Astari, Linda Lukito, Cynthia Deby Mahaputra, Putu Wahyu Manusakti, Raditya Medina, Nadra Odifa Norholila Nugraheni, Pramita Anindya Pratama A., Ronald Purbowo Sintoro, Henry Rahmawati, Tiara Ronald Pratama A. Ronald Pratama Adiwinoto Santoso, Clara Cindy Ateng Saputra Mulya, Kadek Aris Sawitri Sawitri Syahputri, Dewi Timothy, Joel Wibowo , Prajogo Wibowo, Prajogo Widjajanto, Hendra Zeeva, Evane Jovanie