On August 22, the City Children's Hospital said that the unit receiving the 7-month-old fetus (female, Tay Ninh) had severe dengue shock.
Exploiting medical history, the child had a high fever for 2 consecutive days, little coughing of the runny nose, and diarrhea twice, and was examined at a private hospital and diagnosed with upper respiratory infection and digestive disorders.
On the third day, the child had less fever but stopped feeding, was tired, had cold hands and feet, and had bloated skin. The family took the child to the City Children's Hospital.
Test results showed that the NS1 antigen rapid test was positive, red blood cell capacity increased, liver enzymes increased. The child was diagnosed with severe dengue shock syndrome and was treated with active anti-shock according to the protocol.
During treatment, the child had skin lilies, black brown discharge, and many bright spots. The child was continued with anti-shock fluids with high-molecular solutions, blood transfusion, cold-fried fresh, frozen huyet tuong, thickened platelets, and 10% albumin infusion. At the same time, treat with liver support, respiratory support, oxygen, CPAP, non-invasive ventilation, and endotracheal placement.
However, respiratory failure continued to progress, with a tight abdomen and increased bladder pressure. The child was examined for abdominal drainage to relieve the pressure.
After nearly 10 days of treatment, the patient's blood, respiratory and liver damage improved. The child was taken off the ventilator, alert, suckled well, and urinated well.
Doctor Nguyen Minh Tien - Deputy Director of the City Children's Hospital recommends that dengue fever can attack young children with unusual symptoms such as fever with cough, runny nose, sneezing, diarrhea, vomiting, ... easily mistaken for respiratory diseases, digestion or infections or mistaken for hand, foot and mouth disease...
Therefore, it is necessary to take children to a medical facility with a Pediatric department for examination and testing, accurately determining the disease.
During the rainy season, hyphiphics bloom, dengue fever attacks children as well as adults. Parents need to take good measures to prevent diseases such as killing mosquitoes, mosquito larvae, sleeping on the stomach, cleaning up containers...
Children need to be taken to the hospital urgently if their fever is high for more than 1-2 days with signs such as cracking, wheezing or lethargy, lethargy, slurred speech; bleeding, bleeding or vomiting, black stools; abdominal pain, vomiting; cold hands and feet; sluggishness, stopping feeding, loss of appetite.
Currently, there is a dengue fever vaccine for children aged 4 and over and adults.
According to statistics from the Ho Chi Minh City Center for Disease Control, in week 33 (11 - 17), Ho Chi Minh City recorded 2,517 cases of dengue fever, an increase of 38% compared to the average of the previous 4 weeks. The total number of dengue fever cases accumulated from the beginning of 2025 to week 33 is 25,578 cases. The wards with high numbers of cases include Thoi Hoa, Cu Chi and Tan Hiep.
