Baby liver damage due to dengue shock

Ho Chi Minh CityCity Children’s Hospital received two 12-year-old children, with febrile shock with respiratory failure, blood clotting disorder, severe liver damage, in the past week.

On May 2, doctor Nguyen Minh Tien, deputy director of the City Children’s Hospital, said that both children had high fevers continuously for 4-5 days, vomiting, abdominal pain, diarrhea, and taking medicine did not help. admitted to the local hospital in shock, cold hands and feet, tachycardia, and clamped blood pressure (systolic blood pressure very close to diastolic blood pressure). Local doctor diagnosed severe dengue shock, respiratory failure, blood clotting disorder, anti-shock fluid but the progress was not favorable, so he was transferred to the hospital.

One of the two children with severe hemorrhagic shock was actively treated at the hospital. Image: City Children’s Hospital

According to Dr. Tien, when entering the hospital, two children had black stools, distended abdomen, abdominal and chest ultrasound recorded peritoneal effusion and pleural effusion. Blood tests showed that both children had severe liver damage and severe clotting disorders.

Physicians administer shock-resistant macromolecular fluids with the help of invasive arterial sphygmomanometry, central venous pressure measurement, respiratory support with continuous positive pressure breathing, and correction. blood clotting disorder. After more than a week of treatment, the children’s condition gradually improved, awake, breathing air on their own.

The doctor recommended that the number of dengue fever cases is increasing, both medical staff and parents should not be subjectively detected late, bringing children to the hospital late. “You should always think that the child may have dengue fever when he has a fever, not just worrying about the child having Covid-19 or another disease,” warned Doctor Tien.

Parents need to take their child to a medical facility promptly, even during the night, when they see that the child has a high fever for more than two days, showing one of the signs such as crying, irritability, irritability or lethargy; stomachache; nosebleeds, bloody teeth or vomiting blood, black stools; cold hands and feet, lying in one place not playing, giving up sucking, stopping eating.

As of mid-April, Ho Chi Minh City recorded nearly 4,500 cases of dengue fever, of which 109 were severe. According to the Center for Disease Control of Ho Chi Minh City, this is an alarming figure because in 2019, dengue fever broke out into an epidemic with more than 20,000 cases, but the number of severe cases was only 38. The health sector forecasted the situation of dengue fever. Blood has been complicated this year, especially after two years of putting all of our efforts into Covid and entering a new normal.

The Ministry of Health last week forecast that the number of dengue fever cases may increase in the near future because during the epidemic season, provinces and cities develop prevention plans.

Le Phuong


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