Dengue and acute gingival bleeding
Journal name: Journal of Indian Society of Periodontology
Original article title: Dengue and acute gingival bleeding
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Beuy Joob, Viroj Wiwanitkit
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Dengue and acute gingival bleeding
Year: 2014 | Doi: 10.4103/0972-124X.128189
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The recent findings on the relationship between dengue fever and acute gingival bleeding provide valuable insights into the complications arising from this viral infection. The report highlights a specific case documented by Khan et al., wherein a patient exhibited acute gingival bleeding alongside fever and other systemic symptoms. It emphasizes that gingival bleeding can serve as an important indicator of hemorrhagic complications in patients with dengue, thereby warranting further investigation into its diagnostics and implications.
Uncommon Bleeding Presentations in Dengue
While gingival bleeding is a notable symptom, the case presented also underscores the existence of various uncommon bleeding manifestations associated with dengue. Previous experiences indicate that these symptoms can manifest in the absence of fever, complicating the diagnostic process. Moreover, Murillo-Llanes et al. identified a correlation between gingival bleeding and significant thrombocytopenia, specifically when platelet counts fell below 39,000/mm. This reinforces the need for clinicians to consider dengue in the differential diagnosis for any patient exhibiting gingival bleeding, even if fever is not present.
Conclusion
In conclusion, the presence of gingival bleeding in patients, particularly those with dengue, should not be overlooked, as it can serve as an early indicator of severe thrombocytopenia. The findings emphasize the importance of vigilance among healthcare providers in identifying bleeding symptoms associated with dengue, which can aid in timely diagnosis and management. Therefore, both the clinical presentation of bleeding signs and the severity of thrombocytopenia should be focal points in the evaluation of dengue cases.
FAQ section (important questions/answers):
What symptoms are associated with dengue alongside acute gingival bleeding?
Patients with dengue presenting with acute gingival bleeding may also experience fever, weakness, backache, retro-orbital pain, and ecchymosis in areas like the arm. These additional symptoms can aid in diagnosing the condition.
How can gingival bleeding signify severe thrombocytopenia in dengue patients?
Gingival bleeding in dengue patients may indicate severe thrombocytopenia, particularly when platelet counts drop below 39,000/mm. Clinicians should monitor for this sign, as it may serve as an early indicator of potential complications.
Can dengue cause uncommon bleeding presentations without fever?
Yes, dengue can present with unusual bleeding symptoms even in the absence of fever. This complicates diagnosis, making it essential for healthcare providers to consider dengue in patients displaying unexplained bleeding.
Why should clinicians consider dengue in gingival bleeding cases?
Dengue should be included in the differential diagnosis for any patient with gingival bleeding, regardless of accompanying fever. It is crucial for timely identification of potential severe complications associated with the disease.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Dengue and acute gingival bleeding”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Bleeding:
Bleeding refers to the loss of blood from the circulatory system. It is mentioned in the context of dengue, where acute gingival bleeding is highlighted as a significant complication. In dengue patients, bleeding manifestations, including gingival bleeding, can indicate severe clinical states and help in predicting conditions like thrombocytopenia.
2) Fever:
Fever is a common symptom in various infections, including dengue. In the document, fever is referenced in the context of a patient presenting with acute gingival bleeding. The presence or absence of fever can complicate the diagnosis, as dengue-related bleeding can occur without fever, challenging clinical evaluation.
3) Sign:
A sign refers to an indication or symptom of a medical condition. In this text, gingival bleeding is presented as a sign of potential hemorrhagic complications in dengue. Identifying signs like gingival bleeding is crucial for early diagnosis and intervention, and it plays a role in predicting severe outcomes.
4) Pain:
Pain is a subjective experience often associated with injury or illness. In the case described, retro-orbital pain accompanies other symptoms of dengue. The presence of pain, along with other clinical signs, can help clinicians assess the severity of the condition and guide the management of the patient effectively.