Many children hospitalized for severe dengue shock shock
Recorded at the Intensive Care and Anti-Poison Department of Children's Hospital 1, in recent weeks, many pediatric patients have been hospitalized for dengue shock syndrome with multiple organ failure. Notably, recently, the hospital received a boy D. (7 years old, living in An Giang) with severe dengue shock syndrome, with thrombosis syndrome causing liver failure and severe kidney failure.
Before that, the child had a high fever for 5 consecutive days, accompanied by vomiting and abdominal pain. When admitted to the hospital, the child was diagnosed with dengue fever and warned on the 5th day that he was overweight and obese. The child was given fluids and closely monitored.
However, the child still had a prolonged high fever, severe abdominal pain, and rapidly increased liver enzymes, so he was identified as having severe dengue fever, severe liver damage, and transferred to the Intensive Care Unit.
Here, the condition continued to worsen with continuous high fever, coma and acute kidney damage. Doctors had to place an endotracheal infusion, give a ventilator, continuously filter blood, replace huyet tuong, infuse N-acetyl cystein, prevent cerebral edema and infuse blood products.
Test results showed that the child had thrombocytopenic syndrome with a very high inflammatory response. Realizing the critical condition, the doctors immediately consulted and decided to use Dexamethasone to fight inflammation and treat thrombosis. After 24 hours, the child's fever began to decrease, and liver function temporarily stabilized.
Associate Professor, Dr. Pham Van Quang - Head of the Intensive Care and Anti-Poison Department of Children's Hospital 1 said that after nearly 3 weeks of intensive treatment with mechanical ventilation, blood filtration, huyetosal replacement and immunomodulation, the respiratory condition, hem dynamology, liver, kidney function and blood clotting of the child patient have returned to normal. The child is currently conscious, able to eat and drink, and is expected to be discharged in the next few days.
Dangerous syndrome, very severe and easily fatal
Dengue Fever-related thrombocytopenic syndrome Dengue fever is rare but can progress very severely, causing liver failure, kidney failure, blood clotting disorder and death if not detected and treated promptly.
For cases of severe dengue fever with a high fever lasting more than 7 days with liver, kidney or blood disease damage, it is necessary to consider the possibility of thrombocytopenic syndrome for early treatment.
Through this case, Associate Professor, Dr. Pham Van Quang recommends that parents have had dengue fever on the rise recently. This is a common disease in the rainy season, which can lead to cardiopulmonary stunting, severe bleeding, respiratory failure and death. Therefore, early detection and timely treatment are important.
For children with fever for 2 - 3 days or more, especially when there are signs of bleeding (nose bleeding, bleeding tooth and tooth, subcutaneous bleeding), abdominal pain or strong vomiting, parents need to think about the possibility of dengue fever and take the child to the nearest medical facility for timely diagnosis and treatment.
