The first fatal dengue virus infection case in Turkey: Autopsy findings
B. Değirmenci, T. Akar, S. Özsoy, M. Özdemir, B. Özdemir, B. Demirel
Abstract: Dengue is the fastest spreading arboviral infection in the world. It is responsible for about 50 to 200 million
infections annually. Turkey is accepted in the World Health Organization European region and dengue is now endemic in all
World Health Organization regions except for the European region, but people can travel anywhere in the world and they can
catch a disease easily. Approximately 2.5 billion people live in dengue endemic countries; therefore, it may be endemic in Europe
as well in the near future. It might be seen with increasing frequency in forensic mortuaries soon. In such a situation, the autopsy
staff have to keep dengue virus infections in mind to protect themselves from contamination and to detect the cause of death.
A case of a 65-year old Thailand citizen male who died in Turkey is presented. He had skin rashes all over the body. His internal
examination revealed, 1900 ml, 1700 ml and 80 ml sero-hemorrhagic fluid in the right chest, left chest and pericardial cavities
respectively. The sectional cuts of the lungs showed hemorrhagic fluid leakage. Ecchymosis due to intubation was found in
the upper tracheal region. Mesocolon transversum showed hemorrhage as well. Blood test results showed Dengue Virus
Immunoglobulin G (IFA) and Immunoglobulin M (IFA) positive, Japanese encephalitis virus Immunoglobulin M (IFA) negative
and Immunoglobulin G (IFA) positive. Keywords: Dengue virus, autopsy, Turkey.