Risk factors for shock in dengue fever.

Abstract

Sir, The recent report on factors for shock in dengue is very interesting.[1] Pothapregada et al. proposed that age >6 years, hepatomegaly, abdomen pain, and oliguria were most common risk factors for a shock in children with dengue fever.[1] In fact, dengue fever is very common in tropical countries and shock can be serious clinical manifestation.[2] To early detect shock is very important in clinical management and prediction seems to be difficult. Based on our experience, the admission hematology laboratory data (hematocrit, white blood cell count, and platelet) is not helpful for predicting shock.[3] In additional, any clinical complaints or demographical data of patient cannot be also helpful for prediction.[3] Similar to report by Wakimoto et al.[4] and Potts et al.,[5] clinical and laboratory data might be useful for predicting severity but cannot be useful in shock prediction.[3] Wiwanitkit and Manusvanich noted that closed monitoring of dengue hemorrhagic patients is necessary as it is only way to detect shock problem earlier.[3] Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.