AJTMH HINARI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Am. J. Trop. Med. Hyg., 76(4), 2007, pp. 752-756
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by KUO, M.-C.
Right arrow Articles by HWANG, S.-J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by KUO, M.-C.
Right arrow Articles by HWANG, S.-J.
Related Collections
Right arrow Dengue

CASE REPORT


DIFFICULTY IN DIAGNOSIS AND TREATMENT OF DENGUE HEMORRHAGIC FEVER IN PATIENTS WITH CHRONIC RENAL FAILURE: REPORT OF THREE CASES OF MORTALITY

MEI-CHUAN KUO, JER-MING CHANG, PO-LIANG LU, YI-WEN CHIU, HUNG-CHUN CHEN, AND SHANG-JYH HWANG*
Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Faculty of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Infection, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

 

ABSTRACT

In 2002, an outbreak of dengue fever (DF) in Taiwan caused mortality in some patients with chronic renal failure (CRF). We report three cases of CRF who died of dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) despite an intensive care process. The difficulty in diagnosis and the treatment dilemma attributable to ambiguity in symptoms and signs between CRF and DF may delay the diagnosis, contributing to a high risk of mortality. The narrow window of fluid tolerance in patients with CRF further hampers the success of resuscitation in DHF and DSS. Continuous venous to venous hemodialysis (CVVHD) is helpful in managing a condition with unstable hemodynamics. However, to decrease mortality, the physician must pay great attention to ensure an early awareness of DHF/DSS and deliver a prompt and aggressive treatment of patients of dengue viral infections with chronic renal failure.

Received August 7, 2006. Accepted for publication December 18, 2006.

* Address correspondence to Shang-Jyh Hwang, Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan. E-mail: sjhwang{at}kmu.edu.tw

Authors’ addresses: Mei-Chuan Kuo, Jer-Ming Chang, Yi-Wen Chiu, Hung-Chun Chen, and Shang-Jyh Hwang, Division of Nephrology; Po-Liang Lu, Division of Infection, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, San-Ming, District, Kaohsiung City 807, Taiwan, Telephone: 886-7-3121101-7901, Fax: 886-7-3165706.

Reprint requests: Shang-Jyh Hwang, Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan, E-mail: sjhwang{at}kmu.edu.tw.




This article has been cited by other articles:


Home page
 CJASNHome page
M.-C. Kuo, P.-L. Lu, J.-M. Chang, M.-Y. Lin, J.-J. Tsai, Y.-H. Chen, K. Chang, H.-C. Chen, and S.-J. Hwang
Impact of Renal Failure on the Outcome of Dengue Viral Infection
Clin. J. Am. Soc. Nephrol., September 1, 2008; 3(5): 1350 - 1356.
[Abstract] [Full Text] [PDF]

Home page
 Am J Trop Med HygHome page
I.-K. Lee, J.-W. Liu, and K. D. Yang
Clinical and Laboratory Characteristics and Risk Factors for Fatality in Elderly Patients with Dengue Hemorrhagic Fever
Am J Trop Med Hyg, August 1, 2008; 79(2): 149 - 153.
[Abstract] [Full Text] [PDF]

Home page
 Am J Trop Med HygHome page
T.-C. Chen, P.-L. Lu, Y.-H. Chen, J.-J. Tsai, and T.-P. Chen
Dengue Hemorrhagic Fever Complicated with Acute Idiopathic Scrotal Edema and Polyneuropathy
Am J Trop Med Hyg, January 1, 2008; 78(1): 8 - 10.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Society of Tropical Medicine and Hygiene.