Airway breathing circulation dengue: a case of multifactorial shock due to major trauma and severe dengue infection.

Autor:	Hoang, Bui Hai, Tang, Thomas Vu, Phan, Nguyen Dai Nghia, Nguyen, Anh Dung, Dinh, Michael Minh Quoc
Předmět:	KIDNEY injuries DUODENUM surgery LIVER injuries PHYSICAL diagnosis WOUNDS & injuries RED blood cell transfusion BLOOD PLATELET count DIGESTIVE system diseases ACINETOBACTER infections MICROBIAL sensitivity tests ASCITES FUROSEMIDE BLOOD filtration ABDOMINAL surgery HEMOGLOBINS IMMUNOGLOBULINS COMPUTED tomography VENOUS thrombosis PULMONARY edema FLUID therapy SEVERITY of illness index FEVER GLASGOW Coma Scale VERTEBRAL fractures NEPHRECTOMY DENGUE hemorrhagic fever ABDOMINAL injuries SERUM JEJUNOSTOMY CELL culture CONVALESCENCE INTENSIVE care units PAIN NORADRENALINE LENGTH of stay in hospitals EARLY diagnosis BLOOD pressure PULSE (Heart beat) RIB fractures ANURIA CANDIDIASIS VORICONAZOLE HEMORRHAGE HYPOTENSION DISEASE complications
Zdroj:	International Journal of Emergency Medicine; 7/16/2024, Vol. 17 Issue 1, p1-3, 3p
Abstrakt:	Background: Dengue is the most common arboviral illness reported globally, endemic to most tropical and sub-tropical regions of the world. Dengue Shock Syndrome is a rare complication of severe Dengue infection resulting in haemorrhagic complications and refractory hypotension. We report on a case of severe dengue diagnosed in a patient with major trauma and illustrate some of the potential challenges and considerations in the clinical management of such cases. Case Presentation: A 49-year-old female presented following a road trauma incident with multiple abdominal injuries requiring urgent laparotomy. Her recovery in Intensive Care Unit was complicated by the development of Dengue Shock Syndrome characterised by a falling haemoglobin and platelet count, multiorgan dysfunction and prolonged hospital stay. Conclusions: Dengue Shock Syndrome may complicate fluid management and bleeding control in major trauma cases. Awareness of Dengue, particularly in endemic areas and returned travellers may help facilitate early diagnosis and management of complications. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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