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During an outbreak of dengue viral infection in India, a 68-year-old woman presented with fever and myalgia for 4 days and altered sensorium for 1 day. At presentation, she was comatose with a Glasgow Coma score of 6. Physical examination showed high fever (39°C), mild conjunctival injection and hepatosplenomegaly. The pulse rate and blood pressure were within normal limits. The tourniquet test was positive. Laboratory investigations showed mild leucocytosis, thrombocytopenia (65 000 per mm3) and increased haematocrit (48.7%). Prothrombin …
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