Article: Retinal hemorrhages in 4 patients with dengue fever.(DISPATCHES)

We report 4 patients with retinal hemorrhages that developed during hospitalization for dengue fever. Onset of symptoms coincided with resolution of fever and the nadir of thrombocytopenia. Retinal hemorrhages may reflect the rising incidence of dengue in Singapore or may be caused by changes in the predominant serotype of the dengue virus.

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Dengue is usually a self-limiting viral fever spread by the Aedes aegypti mosquito. Minor bleeding frequently complicates dengue fever. Hemorrhagic complications are usually mild and limited to gum bleeding, epistaxis, hematuria, or menorrhagia (1). However, cases of severe and life-threatening bleeding ...

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