HEPATIC DYSFUNCTION AND ACUTE RENAL FAILURE REQUIRING HAEMODIALYSIS IN DENGUE HEMORRHAGIC FEVER- A RARE COMPLICATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 26
Abstract
The incidence of dengue hemorrhagic fever is on rise and the associated mortality is high owing to multi-system failure. Standing at the verge of dengue epidemic, we are seeing more complicated version of the disease than the previous experiences. Although involvement of liver in dengue in the form of elevated hepatic enzymes is known, renal failure is a rare complication in the absence of other contributing etiology. Literature reviews quote a high mortality in dengue with renal failure mostly due to inappropriate or delayed management. We report two such cases of Dengue hemorrhagic fever wherein the patient went into hepatic and renal failure requiring dialysis. Both patients recovered following an intensive monitoring and timely dialysis. Since there are no definite guidelines for the management of renal failure in dengue, an appropriate management of these cases in the intensive care unit would help in reducing the associated morbidity and mortality.
Authors and Affiliations
Prathima P. T, Irfan K. J, Shivakumar Shivanna, Yatish B, Renu Joy
Keywords
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- EP ID EP138186
- DOI 10.14260/jemds/904
- Views 84
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