Complicated Dengue Fever and Its Treatment Dilemmas: A Single-Center Experience in Sri Lanka.
Journal
Case reports in infectious diseases
ISSN: 2090-6625
Titre abrégé: Case Rep Infect Dis
Pays: Egypt
ID NLM: 101573243
Informations de publication
Date de publication:
2021
2021
Historique:
received:
21
09
2020
accepted:
04
01
2021
entrez:
1
2
2021
pubmed:
2
2
2021
medline:
2
2
2021
Statut:
epublish
Résumé
Dengue is an arboviral infection that affects humanscausing significant morbidity and mortality in tropical countries. Our first patient who had diabetes presented with shock and was managed as dengue hemorrhagic fever with superadded sepsis which required noradrenalin plus broad-spectrum intravenous antibiotics. The second patient developed severe bradycardia during the ascending limb of the critical phase with hemodynamic stability, which recovered on discharge. Third patient presented with severe and rapid leaking; we used intravenous albumin as an alternative colloid with good outcome. The fourth patient was a pregnant mother at term, and she went into spontaneous labor during the latter half of the critical phase. The fifth patient developed dengue hemorrhagic fever complicated with probable haemophagocytic lymphohistiocytosis. She was treated with intravenous steroids andimmunoglobulin, yet succumbed on day 7.
Identifiants
pubmed: 33520320
doi: 10.1155/2021/8854282
pmc: PMC7817296
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8854282Informations de copyright
Copyright © 2021 D. K. Jayaweera et al.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
J Infect Dev Ctries. 2015 Apr 15;9(4):338-46
pubmed: 25881521
J Assoc Physicians India. 2019 Jul;67(7):14-16
pubmed: 31559761
Southeast Asian J Trop Med Public Health. 2013 Jul 4;44(4):623-9
pubmed: 24050095
Int J Lab Hematol. 2014 Oct;36(5):499-504
pubmed: 25356498
Br J Haematol. 2001 Sep;114(4):761-9
pubmed: 11564062
Infection. 2017 Feb;45(1):1-10
pubmed: 27448105
Int J Cardiol. 2006 Sep 10;112(1):122
pubmed: 16307808
Intensive Care Med. 2017 Mar;43(3):299-303
pubmed: 28101604
Indian J Pediatr. 2014 Dec;81(12):1381-3
pubmed: 24728701
F1000Res. 2015 Dec 21;4:1483
pubmed: 26925224
Pediatr Blood Cancer. 2008 Jun;50(6):1227-35
pubmed: 18085676