Dr. Somnath Maitra graduated with an M.B.B.S. degree from Calcutta Medical College, Kolkata, under the University of Calcutta in 2004 and earned an M.D. in General Medicine from Calcutta National Medical College and Hospital (CNMCH), Kolkata, affiliated with The West Bengal University of Health Sciences, in 2010. With over 11 years of undergraduate teaching experience, Dr. Somnath Maitra has served as Senior Resident (SR), Resident Medical Officer (RMO), Assistant Professor, and Associate Professor in General Medicine. Currently, Dr.Somnath Maitra has been working as a Professor of Medicine since August 1, 2023. A recognized examiner for M.B.B.S. examinations under WBUHS and a postgraduate teacher in general medicine, Dr. Somnath Maitra has also completed CISP, Revised Basic Course Workshop, AETCOM training, and BCBR training. An accomplished academic, Dr. Somnath Maitra has 36 research papers published in national and international indexed journals and has co-authored the international book Updates in Dengue Fever (2014) along with contributing chapters such as "Warfarin Toxicity Management" (2012) and "Updates in Scrub Typhus" (2022). Selected as the editor of three peer-reviewed international journals, Dr. Somnath Maitra is a member of API and IAMCON and has been a speaker at the 3rd Annual Webinar on Orthopedics, Rheumatology, and Musculoskeletal Disorders in Dubai (December 2023). He was also honored with the Academic Excellence Award at PTWCON 2024.
Dengue is a viral fever in humans caused by 4 serotypes of flavivirus. It is spread by the bite of infected Aedes mosquitoes. It is associated with multisystem involvement. The case series presented here depicts unusual manifestations of dengue infection with hypoplastic anaemia, hepatitis, pancreatitis, and encephalopathy. The cases were diagnosed based on a history of dengue with subsequent persistence of pancytopenia, presence of hepatitis, pancreatitis, and encephalopathy with serological evidence of dengue, after ruling out other aetiologies and based on laboratory investigations.
Bone marrow revealed pancytopenia with hypocellular marrow diagnosing hypoplastic anemia, transaminitis, and rise of lipase and amylase enzymes with symptoms diagnosed hepatitis, pancreatitis, and finally impairment of consciousness with electroencephalogram-diagnosed encephalopathy.
The importance of the case series lies in the fact that atypical manifestations may occur in dengue patients, causing diagnostic and treatment dilemmas.
Keywords: dengue, hypoplastic anemia, hepatitis, pancreatitis, encephalopathy