Accidente cerebrovascular hemorrágico secundario a dengue grave: Reporte de caso

Abstract

Introduction: Dengue is a viral disease trasmitted by Aedes aegypti, which continues to spread in Latin America and other subtropical and tropical regions, representing a major public health challenge. In its severe form, dengue may trigger rare neurological complications such as hemorrhagic cerebrovascular accident (CVA), possibly due to vascular damage and an exacerbated inflammatory response. This report presents a case that contributes to the medical literature by documenting the relationship between severe dengue and CVA. Clinical Findings: A 34-year-old male patient was admitted with a diagnosis of severe dengue and critical neurological deterioration. The initial evaluation revealed deep coma, anisocoria, and frontal intraparenchymal hemorrhage with midline shift, indicative of a secondary CVA. Diagnosis and Treatment: Following the definitive diagnosis of hemorrhagic CVA due to severe dengue, the patient was admitted to the Intensive Care Unit (ICU), where he received ventilatory support, treatment with hypertonic solution, and continuous monitoring for the management of cerebral edema and hemodynamic instability. Conclusion: The association between severe dengue and CVA poses a significant clinical challenge in endemic areas. This case highlights the importance of implementing preventive strategies in the management of patients with severe dengue, promoting early interventions that may improve prognosis in emergencies.