A Rare and Fatal Complication of Dengue Fever: Spontaneous Coronary Artery Dissection

Dengue fever, a tropical disease characterized by fever, haemorrhagic manifestations, and organ impairment, can have rare and fatal complications. We report a case of spontaneous coronary artery dissection (SCAD), a rare but potentially fatal complication of Dengue fever. We report a case of 45-year-old male presented with typical symptoms of Dengue fever, was treated, and discharged. However, three days post-discharge, he developed severe chest pain and was diagnosed with SCAD involving the mid-left anterior descending artery. He received dual antiplatelet, heparin, and guidelines-based treatment. Follow-up angiography after two weeks showed resolution of the dissection and stabilization of the patient. This case highlights the importance of recognizing rare but potentially fatal complications of Dengue fever and the need for prompt diagnosis and intervention. Keywords: Dengue fever, Fatal outcome, Rare complication, Spontaneous coronary artery dissection (SCAD).