Concomitant acute pulmonary embolism in recent dengue virus infection in an endemic country: case series

Haemorrhagic manifestation concern made the PE complication in dengue infection patients often overlooked. Significant clinical challenges arise upon the decision to treat PE pharmacologically in the clinical setting of haemorrhagic diathesis; anticoagulants in dengue are somewhat questionable and meet clinical dilemmas. Although PE is uncommonly described as a dengue complication, this may be an underlying mechanism in which well-known complication in dengue commonly described such as circulatory collapse. This has become a challenge for clinicians to broaden the differential diagnosis to include PE in the setting of complicated dengue infection. Clinician vigilance to increase awareness of thrombotic complication in dengue is of utmost importance especially in the endemic area hospital settings.