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
Related Articles
- EP ID EP138186
- DOI 10.14260/jemds/904
- Views 79
- Downloads 0
A CLINICAL, BACTERIOLOGICAL AND LABORATORIES PROFILE OF NEONATAL SEPTICAEMIA IN A TERTIARY CARE CENTRE OF EASTERN NEPAL
BACKGROUND The most common neonatal morbidity and mortality in underdeveloped countries is neonatal sepsis. The vague clinical sign and symptoms need high degree of suspicion for the early diagnosis and treatment, while...
CYTOKERATIN 19 IMMUNOREACTIVITY IN PAPILLARY THYROID CARCINOMA
BACKGROUND Papillary carcinoma is the most common malignant lesion of the thyroid gland. Diagnostic difficulties can be solved by the use of immunohistochemical markers. Several studies have shown conflicting results reg...
IMPORTANCE OF MEDICAL AUDIT IN A COMMUNITY OPHTHALMIC OUTREACH PROGRAM[b][/b]
Outreach delivery of health care is an important part of Community ophthalmology, especially for Cataract patients. Quality assurance in such programmes, which guarantees every patient of best possible outcom...
COMPARATIVE STUDY OF RENAL MASSES BY ULTRASONOGRAPHY AND COMPUTED TOMOGRAPHY
BACKGROUND The term renal mass includes a large number of expansile entities, which are aggregates of non-functional renal parenchyma. Renal masses can be neoplastic, non-neoplastic or normal variants [pseudotumours]. Th...
A RETROSPECTIVE ANALYSIS ON ANTIMICROBIAL SENSITIVITY PATTERN IN A MEDICAL COLLEGE HOSPITAL IN KANNUR DISTRICT
[b]BACKGROUND[/b]: Resistance by disease causing organisms to antimicrobial drugs is a worldwide issue. Infections caused by resistant microorganisms fail to respond to conventional treatment, resulting in...