Newborn baby with liver damage due to dengue fever

Ho Chi Minh CityA 28-day-old girl, living in Ca Mau, after three days of fever, vomiting, regurgitation of milk, and bloody stools, many skin hemorrhages appeared.

The local hospital doctor diagnosed the baby with dengue fever, platelets decreased several dozen times normal, liver enzymes increased, blood clotting disorders. Ultrasound showed pleural and peritoneal effusion. The baby was treated with oxygen, fluids, and antibiotics to correct acidosis and blood sugar, but the condition progressed complicatedly.

The baby is lethargic, has rapid breathing, rapid heart rate, bruises from the sting, bleeding, bruises, pale skin, and pale skin, so it should be transferred to the City Children’s Hospital.

Doctor Nguyen Minh Tien, Deputy Director of City Children’s Hospital, on September 16, said that when he was admitted to the hospital, he was diagnosed with severe dengue fever, severe liver damage, severe blood clotting disorder, and gastrointestinal bleeding. . Neonates – infants with dengue fever often have coagulation disorders that cause bleeding and bruising, especially in young children, it is too difficult to establish an intravenous line, leading to ecchymosis at injection sites.

The patient was actively treated at the City Children’s Hospital. Photo: Doctor provided

The baby received perfusion, blood transfusion, platelet transfusion, fresh frozen plasma, vitamin K1, liver support. After more than a week of treatment, the baby’s condition improved gradually. “This is a case of dengue fever in an infant presenting with rare severe liver damage that was saved,” said Dr. These cases are serious and complicated and need to be treated aggressively.

Doctors recommend that it is in the rainy season that dengue fever “lurks” to attack children. Parents should let their children sleep under nets, kill mosquitoes, swarm, clear around the house, especially clean up bottles, boxes, bags, water containers…

According to Dr. Tien, when children under one year of age have a fever, it may be accompanied by a cough or runny nose, diarrhea, and vomiting, so it is easy to miss and not monitor dengue fever. Children do not know how to speak or do not know how to describe symptoms, so parents need to closely monitor the situation.

Should be taken immediately to the hospital if the baby has a fever for more than two days, has one of the signs such as fussiness, irritability, irritability or lethargy or lethargy; nosebleeds, bloody teeth or vomiting blood, black, red stools; cold hands and feet, lying in one place not playing, giving up sucking, stopping eating.

Le Phuong