Possible Cause of Liver Failure in Patient with Dengue Shock Syndrome

Apichai Khongphatthanayothin,Atchara Mahayosnond,Yong Poovorawan

doi:10.3201/eid1907.121820

Abstract

Possible Cause of Liver Failure in Patient with Dengue Shock Syndrome

Highlights

Tien Duc Pham, Bazartseren Boldbaatar, Hiroshi Satoh, Yasuhiro Yoshikawa, Shigeru Morikawa, Keiko Tanaka-Taya, Richard Yanagihara, and Kazunori Oishi
To the Editor: We report a rare hepatic ultrasonograph finding for a patient with liver failure associated with dengue virus (DENV) infection
Fever subsided on the day of admission, but the patient was in shock

Summary

Possible Cause of Liver Failure in Patient with Dengue Shock Syndrome

To the Editor: We report a rare hepatic ultrasonograph finding for a patient with liver failure associated with dengue virus (DENV) infection. This finding might shed light on the pathogenesis of liver involvement in this disease. Fever subsided on the day of admission, but the patient was in shock The initial diagnosis was dengue shock syndrome (DSS). The patient was intubated and received intravenous fluid infusion, packed red blood cells, ceftriaxone, sodium bicarbonate, and ranitidine before being transferred to King Chulalongkorn. 130/90 mm Hg after the initial fluid resuscitation (28 mL/kg free flow), and systolic pressure remained at ≈130 mm

Laboratory examinations found

Findings

Hepatic ultrasonograph on the second