Year : 2012  |  Volume : 15  |  Issue : 1  |  Page : 83-

Coronary artery bypass grafting and dengue fever

Viroj Wiwanitkit 
 Wiwanitkit House, Bangkhae, Bangkok 10160, Thailand

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok 10160

How to cite this article:
Wiwanitkit V. Coronary artery bypass grafting and dengue fever.Ann Card Anaesth 2012;15:83-83

How to cite this URL:
Wiwanitkit V. Coronary artery bypass grafting and dengue fever. Ann Card Anaesth [serial online] 2012 [cited 2020 Oct 1 ];15:83-83
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The Editor,

I read a recent publication on coronary artery bypass grafting and dengue fever with a great interest, [1] in which Trehan et al. had concluded that the presence of dengue should be kept in mind in any postoperative patient with unexplained thrombocytopenia. [1] However, I have some concerns regarding this work. Although there is no doubt that the case discussed was of dengue hemorrhagic fever, it should have been kept in mind that there are many similar infections that can cause thrombocytopenia with fever. The other diseases that can cause fever and thrombocytopenia in the postoperative period includes Chikungunya fever (common), Congo-Crimean hemorrhagic fever (rare), Omsk hemorrhagic fever (rare), and Kyasanur forest disease (rare). [2] Besides, in this case report, focus should have been more on the source of infection. The case was a postoperative case, and hence the source of infection should have been within the hospital. Thus, it might have been a nosocomial infection case. If this is true, then it is a very big problem. The mosquito control within the hospital is very important for the area of endemic mosquito-borne diseases.


1Rawat SK, Mehta Y, Juneja R, Trehan N. Dengue fever in a patient recovering from coronary artery bypass grafting. Ann Card Anaesth 2011;14:155-6.
2Gear JH. Hemorrhagic fevers, with special reference to recent outbreaks in southern Africa. Rev Infect Dis 1979;1:571-91.