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Acute Respiratory Failure in Adult Patients with Dengue Virus Infection

To investigate clinical course and outcome of dengue with acute respiratory failure (ARF), and to identify related risk factors for acquiring ARF in dengue, we retrospectively studied 11 dengue patients with ARF. From June to December 2002, a total of 606 adult patients were diagnosed as having dengue. Eleven (1.8%) of 606 dengue patients had complications of ARF. The main causes of ARF were sepsis (n = 6, 54.5%) and upper gastrointestinal (UGI) bleeding (n = 3, 27.3%). The mortality rate was 72.7% (n = 8). Additionally, univariate analysis showed that age, dyspnea, cough, prothrombin time, activated partial thromboplastin time, aspartate aminotransferase, alanine aminotransferase, blood urea nitrogen, creatinine, albumin, renal insufficiency, acute renal failure, acute hepatic failure, UGI bleeding, and combination bacterial infection were significantly predictive variables associated with dengue patients with ARF.

Received September 11, 2006. Accepted for publication March 18, 2007.

^* Address correspondence to Meng-Chih Lin, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China and Department of Respiratory Care, Chang Gung Institute of Technology, Chia-Yi, Taiwan, 123 Dabi Road, Niaosung Shiang, Kaohsiung, Taiwan, Republic of China. E-mail: mengchih{at}adm.cgmh.org.tw

Authors’ addresses: Chin-Chou Wang, Shih-Feng Liu, An-Shen Lin, Chao-Chien Wu, Yu-Hsiu Chung, and Meng-Chih Lin, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China. Shang-Chih Liao, Division of Nephrology, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China. Ing-Kit Lee and Jien-Wei Liu, Division of Infectious Disease, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China.

Reprint requests: Meng-Chih Lin, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China and Department of Respiratory Care, Chang Gung Institute of Technology, Chiayi, Taiwan, 123 Dabi Road, Niaosung Shiang, Kaohsiung, Taiwan, Republic of China, Telephone: 886-7-731-7123 extension 8199, Fax: 886-7-732-2402, E-mail: mengchih{at}adm.cgmh.org.tw.