Abstract

SOTELO CACERES, Fredy Rolando  and  GOMEZ ALVAREZ, María José. Bacteremia as a Complication of Severe Dengue. Rev. cient. cienc. salud [online]. 2025, vol.7, e7201.  Epub Feb 13, 2025. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/2025.e7201.

Introduction. Bacterial coinfection in patients with dengue is an emerging concern that increases morbidity and mortality. Coinfections with pathogens such as Staphylococcus aureus highlight the importance of a comprehensive approach in diagnosis and treatment. Clinical case. A 35-year-old male patient with high blood pressure comes in due to fever. He has a positive NS1 result and has received outpatient treatment with multiple punctures. There is persistence of fever with elevated infectious parameters, chest pain and dyspnea. Ancillary studies revealed purulent pericarditis and necrotizing pneumonia with isolation of methicillin-resistant S. aureus in both. The diagnosis was dengue fever, purulent pericarditis, necrotizing pneumonia. He received treatment with vancomycin for 48 days and showed clinical improvement. Conclusion. Bacteremia concurrent with dengue includes serious complications, especially due to S. aureus. Although they have high mortality, the case reported had good results.

Keywords : dengue; bacteriemia; Staphylococcus aureus.

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