Acute Kidney Injury in Non-Shock Dengue Hemorrhagic Fever
- Author:
Ria Bandiara
1
;
Guntur Darmawan
2
;
Joko Suseno
3
;
Bachti Alisjahbana
4
Author Information
1. Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran /Hasan Sadikin General Hospital, Bandung, Indonesia
2. Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia
3. Department of Internal Medicine, Faculty of Medicine, Krida Wacana Christian University, Jakarta, Indonesia
4. Division of Infectious and Tropical Disease, Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia
- Publication Type:Case Reports
- Keywords:
acute kidney injury;
dengue hemorrhagic fever;
dengue infection;
stable hemodynamic
- MeSH:
Severe Dengue;
Acute Kidney Injury;
Dengue;
Pyelonephritis;
Hemodynamics
- From:
Philippine Journal of Internal Medicine
2020;58(1):34-41
- CountryPhilippines
- Language:English
-
Abstract:
INTRODUCTION: Acute kidney injury (AKI) is one of the severe complications in dengue hemorrhagic fever, usually occurred in shock. We report an interesting case of AKI in a hemodynamically stable dengue hemorrhagic fever patient.
CASE PRESENTATION: An 18-year-old male dengue fever patient referred to our institution in his day eight of illness due to three days of decreased urine output. He was hemodynamically stable with thrombocytopenia, increase in creatinine, positive for Anti dengue IgM, proteinuria, and hematuria. Ultrasound examination showed ascites. He was diagnosed with AKI stage III related to dengue hemorrhagic fever and underwent hemodialysis. A total of four series of hemodialysis and furosemide drip were performed during 12 days of admission and he was finally improved.
CONCLUSION: Renal injury might occur in hemodynamically stable dengue hemorrhagic patients. It is a reversible condition; hence, appropriate treatment and close monitoring result in good outcomes
- Full text:10Acute-Kidney-Injury-in-Non-Shock-Dengue-Hemorrhagic-Fever-Patient.pdf
