Description

Kuo et al evaluated patients with chronic renal failure who developed dengue fever. These patients show increased mortality, especially if the hemorrhagic or shock syndrome develop. The authors are from Kaohsiung Medical University in Taiwan.


 

Risk factors:

(1) delay in diagnosis

(2) development of dengue hemorrhagic or dengue shock syndrome

(3) fluid overload during resuscitation

(4) pre-existing heart failure

(5) electrolyte imbalance, especially hyperkalemia

(6) acidosis

(7) pre-existing coagulopathy (uremic, other)

(8) pre-existing gastrointestinal ulceration or bleeding site

(9) protein malnutrition, with hypoalbuminemia

 

Management should include:

(1) careful monitoring of fluid input and output, weight and central venous pressure

(2) continuous renal replacement therapy

 


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