Pulmonary complication of dengue fever with pregnancy in port sudan

Dengue fever is the commonest arthropod – borne viral infection, that caused by a flavivirus. There are four antigenic types of dengue virus, the virus is transmitted by Aedes aegypti mosquito, Since 2005 dengue fever occurred in a significant number in Port Sudan, In east Sudan, and at this time WHO consider Port Sudan as endemic area. Dengue fever in this area showed bad outcome in pregnancy due to pulmonary complication, so this descriptive study done in 36 pregnant women with dengue fever, who were developed respiratory symptoms throughout their hospital course. From those 36 patients 75% was classic dengue fever, 13.7% dengue haemorrhagic fever, and 11.3% dengue shock syndrome. The pulmonary complication appear as pneumonia in 17 (47.2%) patients, pleural effusion in 8 (22.2) patients, pulmonary embolism in 8 (22.2%) patients, ARDS in 3 (8.3%) patients. 3 (8.3%) were terminated chemically, 5 (13.9% ) terminated by cesarean section and 28 (77.8 %) underwent normal vaginal delivery at term. These complications worsening the outcome, affecting both morbidity and mortality of dengue fever in pregnancy, so need early detection and standered interventions.