Dengue fever increases, more severe cases appear

According to the annual disease progression in Ho Chi Minh City and the southern provinces and cities, the peak season of dengue fever begins to increase from July, and is expected to last until the end of October. In July this year, dengue fever in the southern region has increased higher than forecast. Especially, there are many severe cases in both adults and children.

Doctor Nguyen Minh Tien, Deputy Director of Ho Chi Minh City Children's Hospital, said that in the past week, this unit received a 5-month-old baby boy (weighing 11 kg, living in Binh Thuan province) in good condition. severe hemorrhagic shock. Before that, the patient had a high fever for 3 consecutive days, on the 4th day, the fever subsided, but he vomited brown fluid, his abdomen was distended, and he had petechiae on his skin and was taken to a local hospital by his family. The results of the tests showed that the child had hemoconcentration with a red blood cell volume of 48% (normally only 30-35%) and a decrease in platelets. Immediately, the child was diagnosed with severe dengue shock and received anti-shock treatment according to the regimen. However, due to the fact that children are overweight and obese (at this age, the standard weight of children is only 6-7 kg), it is difficult to access the line, doctors at lower levels consulted and transferred to the hospital. City Children's Hospital.

At City Children's Hospital, the pediatric patient was actively treated with a weight-adjusted dextran solution for shock. The course of the disease in the following days was very complicated, children showed prolonged shock, respiratory failure, liver damage, severe coagulopathy, gastrointestinal bleeding, metabolic acidosis, and hypoglycemia. Doctors must continuously administer anti-shock treatment, use vasopressors, liver support such as: Adjust blood sugar, electrolytes, acid base, vitamin K1 injection, treat coagulation disorders with fresh frozen plasma transfusion. , cold precipitate and platelet concentrate.

On the 7th day, the patient had a sudden high fever, blood tests showed an increased inflammatory response, so he was given more immunomodulatory drugs. After nearly 2 weeks of treatment, the child's condition improved gradually, the fever was gone, the oxygen was taken off, and the baby was well fed. “This is a case of severe hemorrhagic fever, complications of coagulation disorders, and organ damage occurring in overweight infants, making it difficult for doctors to make appropriate treatment decisions. ", doctor Nguyen Minh Tien commented.

Last week, the Department of Emergency - Intensive Care - Adult Poison Control, Ho Chi Minh City Hospital for Tropical Diseases received two very severe cases of dengue fever, in which, one patient fell into a state of relapse. Dengue shock multiple times. The remaining cases had severe liver failure.
Doctor Truong Ngoc Trung, Head of Emergency - Intensive Care - Adult Anti-toxic said, liver damage is a serious manifestation of Dengue hemorrhagic fever, because Dengue hemorrhagic fever has the ability to attack directly on liver or through immune mechanisms. Therefore, when dengue is diagnosed or suspected, the patient must be closely monitored and re-examined. Patients with high fever continuously for more than two days should approach medical facilities early, noting that the dangerous stage is usually when the patient has reduced fever or no longer has fever.

According to the Department of Health of Ho Chi Minh City, in the week of 29 (July 17 - 23), the area recorded 256 cases of dengue fever, an increase of 12.2% compared to the average of the previous 4 weeks. To prevent disease, people need to follow the recommendations of the health sector.

* SOURCE: https://baotintuc.vn/dich-benh/sot-xuat-huyet-gia-tang-xuat-hien-nhieu-ca-benh-nang-20230731180726440.htm