Journal of Indian Society of Periodontology

LETTER TO EDITOR
Year
: 2014  |  Volume : 18  |  Issue : 1  |  Page : 4-

Dengue and acute gingival bleeding


Beuy Joob1, Viroj Wiwanitkit2,  
1 Department of Medical Science, Sanittion 1 Medical Academic Center, Bangkok, Thailand
2 Department of Biological Science, Joseph Ayobabalola University, Osun State, Nigeria

Correspondence Address:
Beuy Joob
Sanittion 1 Medical Academic Center, Bangkok
Thailand




How to cite this article:
Joob B, Wiwanitkit V. Dengue and acute gingival bleeding.J Indian Soc Periodontol 2014;18:4-4


How to cite this URL:
Joob B, Wiwanitkit V. Dengue and acute gingival bleeding. J Indian Soc Periodontol [serial online] 2014 [cited 2021 Sep 24 ];18:4-4
Available from: https://www.jisponline.com/text.asp?2014/18/1/4/128189


Full Text

Sir,

The recent report on dengue and acute gingival bleeding is very interesting. [1] Khan et al. reported a case presenting with acute gingival bleeding with a history of fever, weakness, backache, retro orbital pain and ecchymosis over his right arm. [1] In fact, the present case showed many bleeding presentations. Gingival is only a sign indicating hemorrhagic complication. Based on our previous experience, there are several uncommon bleeding presentations in dengue, [2] which can be seen without fever and this leads to the difficulty in diagnosis. [3] Focusing on gingival bleeding, Murillo-Llanes et al. reported that this presentation was associated with thrombocytopenia below 39,000/mm. [4] As Khan et al. noted, [1] dengue should be included in the differential diagnosis of any patient presenting with gingival bleeding, either with or without fever. Also, gingival bleeding should be looked for in patients with dengue since it can be a good early sign for predicting severe thrombocytopenia. [5]

References

1Khan S, Gupta ND, Maheshwari S. Acute gingival bleeding as a complication of dengue hemorrhagic fever. J Indian Soc Periodontol 2013;17:520-2.
2Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.
3Wiwanitkit V. Bleeding and other presentations in Thai patients with dengue infection. Clin Appl Thromb Hemost 2004;10:397-8.
4Murillo-Llanes J, Soto-Valenzuela H, Flores-Flores P, Peraza-Garay F. Clinical and epidemiological characteristic of dengue. Rev Med Inst Mex Seguro Soc 2007;45:485-91.
5Díaz-Quijano FA, Martínez-Vega RA, Villar-Centeno LA. Early indicators of severity in dengue virus infection. Enferm Infecc Microbiol Clin 2005;23:529-32.