{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:25Z","timestamp":1756339525377,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,11]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Dengue haemorrhagic fever (DHF) is a common tropical disease. An increasing frequency of dengue fever and DHF in pregnancy is being observed, with a rising incidence among adults. This case report describes the management of a woman in her early 30s, gravida 3, para 2, at 34 weeks of gestation, presenting with DHF and dengue shock syndrome, with a history of two previous caesarean sections. The patient developed severe complications, including preterm labour, atonic postpartum haemorrhage and significant haematoma formation, requiring complex multidisciplinary care. Despite these challenges, both maternal and fetal outcomes were successfully managed through vigilant monitoring and timely interventions.<\/jats:p>","DOI":"10.1136\/bcr-2024-263274","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T09:40:29Z","timestamp":1741945229000},"page":"e263274","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Dengue haemorrhagic fever (DHF) in pregnancy"],"prefix":"10.1136","volume":"18","author":[{"given":"Seema","family":"Chigateri","sequence":"first","affiliation":[{"name":"Obstetrics and Genecology, SDM College of Medical Sciences and Hospital, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidya S","family":"Kamat","sequence":"additional","affiliation":[{"name":"Obstetrics and Genecology, SDM College of Medical Sciences and Hospital, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apoorva","family":"Jain","sequence":"additional","affiliation":[{"name":"Obstetrics and Genecology, SDM College of Medical Sciences and Hospital, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay Kumar","family":"Oli","sequence":"additional","affiliation":[{"name":"Obstetrics and Genecology, SDM College of Medical Sciences and Hospital, Dharwad, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"2025082708391583000_18.3.e263274.1","unstructured":"World Health Organization . Dengue Haemorrhagic Fever: Diagnosis, Treatment, Prevention and Control. 2nd edn. Geneva: World Health Organization, 1997."},{"key":"2025082708391583000_18.3.e263274.2","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.jmii.2020.03.007","article-title":"Dengue hemorrhagic fever \u2013 A systemic literature review of current perspectives on pathogenesis, prevention and control","volume":"53","author":"Wang","year":"2020","journal-title":"J Microbiol Immunol Infect"},{"key":"2025082708391583000_18.3.e263274.3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.ejogrb.2021.04.035","article-title":"Dengue in pregnancy: Review article","volume":"261","author":"Mulik","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082708391583000_18.3.e263274.4","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/nature12060","article-title":"The global distribution and burden of dengue","volume":"496","author":"Bhatt","year":"2013","journal-title":"Nature New Biol"},{"key":"2025082708391583000_18.3.e263274.5","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s00404-020-05930-7","article-title":"Maternal and fetal outcomes of dengue fever in pregnancy: a large prospective and descriptive observational study","volume":"304","author":"Brar","year":"2021","journal-title":"Arch Gynecol Obstet"},{"key":"2025082708391583000_18.3.e263274.6","doi-asserted-by":"crossref","DOI":"10.1093\/jtm\/taz077","article-title":"Dengue, Zika and chikungunya during pregnancy: pre- and post-travel advice and clinical management","volume":"26","author":"Vouga","year":"2019","journal-title":"J Travel Med"},{"key":"2025082708391583000_18.3.e263274.7","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-23276-8"},{"key":"2025082708391583000_18.3.e263274.8","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/s15010-017-1031-2","article-title":"Human infectious diseases and risk of preeclampsia: an updated review of the literature","volume":"45","author":"Nourollahpour Shiadeh","year":"2017","journal-title":"Infection"},{"key":"2025082708391583000_18.3.e263274.9","doi-asserted-by":"publisher","DOI":"10.3201\/eid2409.170361"},{"key":"2025082708391583000_18.3.e263274.10","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.4269\/ajtmh.16-0794","article-title":"Maternal and fetal consequences of dengue fever during pregnancy","volume":"98","author":"Basurko","year":"2018","journal-title":"Am J Trop Med Hyg"},{"key":"2025082708391583000_18.3.e263274.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2006.06.002"},{"key":"2025082708391583000_18.3.e263274.12","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/ijgo.14116","article-title":"FIGO recommendations on the management of postpartum hemorrhage 2022","volume":"157","author":"Escobar","year":"2022","journal-title":"Intl J Gynecology & Obste"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:39:23Z","timestamp":1756309163000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,14]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-263274"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263274","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}