Critical dengue fever in just a few days

Hà Lê |

After only a few days of high fever, the patient was in critical condition and had to be given emergency care in a state of organ failure, threatening his life due to dengue fever.

The Central Hospital for Tropical Diseases continuously received cases of critical dengue fever after only a few days.

Ms. N.T.D, 55 years old, residing in Hanoi, was admitted to the Intensive Care Center when her illness entered the 7th day. Previously, she had a high fever of 39-40 degrees Celsius, general pain, and was diagnosed with Dengue fever at a medical facility but treatment did not improve. When there was difficulty breathing, low blood pressure, the patient was transferred to the Central Hospital for Tropical Diseases in a state of drowsiness, severe respiratory failure, subcutaneous bleeding, bleeding from the nose, mouth...

Doctors diagnosed the patient with Dengue shock, multiple organ failure, and severe blood clotting disorder on the basis of diabetes. Despite being placed in the tracheal tube, on a ventilator, receiving platelets, continuous blood filtration and dichament exchange, her condition is still very serious, with a high risk of death.

The second patient is Mr. L.V.T, 24 years old, from Thanh Hoa, working in Hanoi. He had a high fever of 39 degrees Celsius for 3 days, self-medicated at home but did not improve, then had a severe headache, diarrhea, nausea, and poor appetite. When admitted to the hospital, he had a stomachache, vomited a lot, was tired, and could not eat or drink. High blood density index, reduced platelets and risk of epidemic overload due to improper IV, which can cause respiratory failure.

MSc. Dr. Dong Phu Khiem - Deputy Director of the Intensive Care Center - said that in the early stages of dengue fever, it is often high in index, pain, headaches... but from the 4th day, when the fever drops, the disease can turn serious, especially in the elderly, people with underlying diseases, immunodeficiency, overweight or prolonged use of corticosteroids. This is the most dangerous stage, patients should not be subjective when seeing a drop in fever.

Experts recommend that patients who suspect or have been diagnosed with dengue fever should be examined and evaluated daily from the 4th to the 7th day to promptly detect dangerous signs such as abdominal pain, frequent vomiting, fatigue, uncontrollable bleeding, difficulty breathing, impaired consciousness... and hospitalized early, especially those in high-risk groups.

Hà Lê
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