scholarly journals Spontaneous muscle hematoma complicating dengue hemorrhagic fever: a case report

2019 ◽  
Vol 10 (1) ◽  
pp. 76-77
Author(s):  
Hasna Fahmima Haque ◽  
AKM Shaheen Ahmed ◽  
Fuad Bin Bashar ◽  
Rizwana Anjum
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Wide Spectrum ◽  
Clinical Manifestations ◽  
Hemorrhagic Fever ◽  
Recovery Phase ◽  
Computed Tomography Scan ◽  
Plasma Leakage ◽  
Tomography Scan ◽  
Mild Fever ◽  
Iliacus Muscle

Dengue is endemic in Bangladesh and is an emerging infection in many parts of the world. Its clinical manifestations are wide spectrum, may present as mild fever to shock. Muscle hematomas are rare complications in dengue hemorrhagic fever. We report a case of 21-year-old male with dengue hemorrhagic fever who developed right sided iliacus muscle hematoma. He presented with fever, progressive thrombocytopenia and evidence of plasma leakage. During the recovery phase, he developed severe pain in right hip during movement. Diagnosis was confirmed by pelvic computed-tomography scan and he was managed conservatively. Birdem Med J 2020; 10(1): 76-77

Shock Prognostic Factors in Hospitalized Dengue Hemorrhagic Fever Children

2018 ◽  
Vol 24 (8) ◽  
pp. 6221-6224
Author(s):  
Hindra Irawan Satari ◽  
Rossy Agus Mardani ◽  
Hartono Gunardi
Keyword(s):  
Prognostic Factors ◽  
Dengue Hemorrhagic Fever ◽  
Dengue Infection ◽  
Clinical Manifestations ◽  
Dengue Shock Syndrome ◽  
Hemorrhagic Fever ◽  
Health Department ◽  
Abdominal Tenderness ◽  
Diverse Area ◽  
Plasma Leakage

Various clinical manifestations, complex pathogenesis and different virus serotypes in diverse area make us difficult to predict course of disease, even the child admitted in early. Prognostic factors are very important to predict cases progressing to become DSS. Dengue shock syndrome (DSS) occurs in 15.53% of Dengue hemorrhagic fever (DHF) patients with 7.81% mortality rate. Aim: To explore the prognostic factors of shock in hospitalized DHF children regarding the new 2011 WHO dengue virus infection classification guideline. This was a retrospective study using medical records of children age below 18 years old with WHO fulfilled grade 1 and 2 DHF diagnosis from January 2013–December 2016 in Child Health Department of Dr. Cipto Mangunkusumo Hospital, Jakarta. Independent variables were sex, age, nutritional status, secondary dengue infection, leucopenia, abdominal tenderness, gastrointestinal bleeding, hepatomegaly and plasma leakage. Shock was dependent variable. Multivariate analysis was done by using logistic regresion analysis. There were 98 DHF subjects, 5 subjects became DSS during hospitalization. DSS subject characteristics were age of >5 years old, female, malnutrition, abdominal tenderness, hemoconcentration ≥20%, secondary dengue infection, leucocyte ≥5.000 mm3 and thrombocyte <50.000 mm3. Multivaryate analysis showed malnutrition and hepatomegaly were prognosis factors of DSS. Malnutrition and hepatomegaly were prognotic factors of dengue shock syndrome. Clinicians should be more aware with these factors when managed hospitalized DHF patients.

scholarly journals Hyperventilation in Children with Dengue Hemorrhagic Fever (DHF)

2019 ◽  
Vol 31 (9-10) ◽  
pp. 245-56
Author(s):  
Kasim Y. A. ◽  
Anky Tri Rini K. E. ◽  
Sumarmo S. P. S.
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Dengue Shock Syndrome ◽  
Hemorrhagic Fever ◽  
Lung Edema ◽  
Respiratory Problems ◽  
Ventilatory Pattern ◽  
Grade Ii ◽  
Plasma Leakage ◽  
The Difference ◽  
Respiratory Disturbance

Many studies of Dengue Hemorrhagic Fever (DHF) have been done but only a few revealed the respiratory status. Respiratory problems arise. because of plasma leakage through the 'damaged capillaries, causing lung edema and in turn result in hypoxemia. This later on will be compensated by a hyperventilation state. During a 6-month-period (May to September 1988), two aspects were studied in 85 patients hospitalized with DHF. First, the ventilatory pattern and second, the result of giving oxygen support in improving the respiratory disturbance, in this case alveolar hyperventilation. The incidence of alveolar hyperventilation in DHF grade II (DHF II) and Dengue Shock Syndrome (DSS) differed significantly. Hypoxemia occurred in DHF II and DSS with no significant differences. The difference of the incidence of metabolic acidosis in DHF II and DSS were significant. In DHF II patients having had hyperventilation state, oxygen therapy decreased respiration rate significantly and increased the PaC02 though not significantly.

scholarly journals Bleeding complications in dengue are not associated with significant changes in the modulators of the endothelial barrier

2014 ◽  
Vol 8 (06) ◽  
pp. 799-803 ◽  
Author(s):  
Fernanda Andrade Orsi ◽  
Rodrigo Nogueira Angerami ◽  
Bruna Moraes Mazetto ◽  
Susan Kelly Picoli Quaino ◽  
Erich Vinícius De Paula ◽  
...  
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Plasma Levels ◽  
Who Classification ◽  
Hemorrhagic Fever ◽  
Microvascular Permeability ◽  
Endothelial Barrier ◽  
Bleeding Complications ◽  
Soluble Receptors ◽  
Plasma Leakage ◽  
Barrier Breakdown

Bleeding complications in dengue may occur irrespective of the presence of plasma leakage. We compared plasma levels of modulators of the endothelial barrier among three dengue groups: bleedings without plasma leakage, dengue hemorrhagic fever, and non-complicated dengue. The aim was to evaluate whether the presence of subtle alterations in microvascular permeability could be detected in bleeding patients. Plasma levels of VEGF-A and its soluble receptors were not associated with the occurrence of bleeding in patients without plasma leakage. These results provide additional rationale for considering bleeding as a complication independent of endothelial barrier breakdown, as proposed by the 2009 WHO classification.

scholarly journals Pengaruh Kesehatan Lingkungan terhadap Perubahan Epidemiologi Demam Berdarah di Indonesia

e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ribka Wowor
Keyword(s):  
High Risk ◽  
Environmental Factors ◽  
Dengue Hemorrhagic Fever ◽  
Health Problem ◽  
Human Population ◽  
Dengue Infection ◽  
Clinical Manifestations ◽  
Hemorrhagic Fever ◽  
Effective Control ◽  
High Risk Population

Abstract: In Indonesia, dengue hemorrhagic fever (DHF) is a serious health problem. Infection of dengue has occurred in Indonesia for the last two decades. It is a self limiting disease, however, its clinical manifestations has become worsened since several years ago. Epidemiologic pattern of dengue infection changes every year, and there is a peak of new cases every 10 years. Nowadays, adolescence and adult individuals belong to the high risk population of this infection. This epidemiologic changing of DHF is influenced by several environmental factors, inter alia: 1) increasing of human population; 2) uncontrolled urbanization; 3) no effective control of mosquitoes in endemic areas; and 4) modernized public transportation.Keywords: environmental sanitation, epidemiology, dengue hemorrhagic fever Abstrak: Di Indonesia, demam berdarah dengue (DBD) masih merupakan masalah kesehatan masyarakat yang penting. Infeksi dengue terjadi secara endemis di Indonesia selama dua abad terakhir. Penyakit ini bersifat self limiting namun dalam beberapa tahun terakhir memperlihatkan manifestasi klinis yang semakin berat sebagai DBD dan frekuensi kejadian luar biasanya semakin meningkat. Pola epidemiologi infeksi dengue mengalami perubahan dari tahun ke tahun, jumlah kasus memuncak setiap siklus 10 tahunan. Kelompok usia yang terserang dengue berubah menjadi kelompok remaja dan dewasa. Perubahan epidemiologi DBD ini turut dipengaruhi oleh faktor kesehatan lingkungan. Faktor-faktor yang memengaruhi peningkatan dan penyebaran kasus DBD sangat kompleks yaitu, antara lain: 1) pertumbuhan penduduk yang tinggi dan cepat; 2) urbanisasi yang tidak terencana dan tidak terkendali; 3) tidak adanya kontrol vektor nyamuk yang efektif di daerah endemis; serta 4) peningkatan sarana transportasi.Kata kunci: kesehatan lingkungan, epidemiologi, demam berdarah dengue

PENERAPAN PERILAKU HIDUP BERSIH DAN SEHAT DENGAN PENCEGAHAN PENYAKIT DEMAM BERDARAH DENGUE

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Miftah Apriani ◽  
Tridamayanti Tridamayanti
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Clinical Manifestations ◽  
Hemorrhagic Fever ◽  
Survey Method ◽  
P Value ◽  
Cross Sectional ◽  
The Public ◽  
Number Of Patients ◽  
Relationship Of ◽  
The Relationship

Background: Dengue Hemorrhagic Fever (DHF) or Dengue Hemorrhagic Fever (DHF) is currently one of the public health problems in Indonesia which tends to increase the number of patients and the wider spread. Dengue hemorrhagic fever is an infectious disease caused by dengue virus with clinical manifestations of fever, muscle pain / joint pain accompanied by rashes, thrombocytopenia and hemorrhagic thesis. The data obtained amounted to 81 people. Objective: The objective is to determine the relationship of knowledge, habits of hanging clothes and frequency of draining tubs with the prevention of Dengue Hemorrhagic Fever (DHF). Method: This research was conducted at the Puskesmas Service conducted on May 14 until May 25, 2019. Data analysis used univariate and bivariate analyzes. This research method uses analytical survey method with cross sectional approach. The sample in this study amounted to 81 people using systematic random sampling techniques. Results: From the analysis it was found that there was a relationship of knowledge (ρ-value 0.001), habit of hanging clothes (ρ-value 0.001), and frequency of draining tub (p-value 0,000), with the prevention of DHF. Suggestion: in order to increase counseling about the dangers of dengue fever to the public. Keywords: Dengue Hemorrhagic Fever, Behavior

Natural History of Plasma Leakage in Dengue Hemorrhagic Fever

2007 ◽  
Vol 26 (4) ◽  
pp. 283-290 ◽  
Author(s):  
Anon Srikiatkhachorn ◽  
Anchalee Krautrachue ◽  
Warangkana Ratanaprakarn ◽  
Lawan Wongtapradit ◽  
Narong Nithipanya ◽  
...  
Keyword(s):  
Natural History ◽  
Dengue Hemorrhagic Fever ◽  
Hemorrhagic Fever ◽  
History Of ◽  
Plasma Leakage

scholarly journals A Rare Case of Haemoptysis Revealing Aortic Coarctation in an Adult

2020 ◽  
Author(s):  
Ahmed Ben Saad ◽  
Asma Achour ◽  
Asma Migaou ◽  
Saousen Cheikh Mhamed ◽  
Nesrine Fahem ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Clinical Manifestations ◽  
Past Medical History ◽  
Computed Tomography Scan ◽  
Bronchial Arteries ◽  
Contrast Enhanced ◽  
Threatening Condition ◽  
Internal Mammary ◽  
Life Threatening ◽  
Tomography Scan

Haemoptysis is a frequently occurring but sometimes life-threatening condition. Congenital cardiovascular abnormalities are rare causes of haemoptysis. We report a case of a 33-year-old man without any past medical history complaining of haemoptysis with no other associated clinical manifestations. A contrast-enhanced chest computed tomography scan revealed aortic coarctation with dilation of the internal mammary, intercostal and bronchial arteries. He underwent stent placement after balloon angioplasty with favourable outcomes.

scholarly journals CLINICAL CHARACTERISTIC OF ADULT PATIENTS WITH DENGUE HEMORRHAGIC FEVER AT PROF. DR. SULIANTI SAROSO SUNTER INFECTIOUS HOSPITAL 2018

2020 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ghina Rasyidah ◽  
Adinta Anandani
Keyword(s):  
Dengue Hemorrhagic Fever ◽  
Clinical Manifestations ◽  
Hemorrhagic Fever ◽  
Viral Disease ◽  
Adult Patients ◽  
H2 Antagonist ◽  
Average Patient ◽  
Serology Test ◽  
Age Range ◽  
Clinical Characteristic

Background: Dengue is a viral disease transmitted by mosquito to humans and becomes a problem for the health of Indonesian people. Dengue Hemorrhagic Fever occurs due to several epidemiological factors. The purpose of this study is to determine the clinical characteristics of adult patients with Dengue Hemorrhagic Fever at Prof. dr. Sulianti Saroso Sunter Infectious Hospital 2018. Method: This Study was an observational descriptive study by taking medical record samples in 49 adult patients Dengue Hemorrhagic Fever in 2018. Results: From the 49 cases of Dengue Haemorrhagic Fever, the highest fender category was male (65,3%), occurred in the 18-25 year age category (38,8%), and the average patient worked as a Private Employee (55,1%). Most patients were hospitalized for the less than 7 days (83,7%). Clinical manifestations were fever (95,9%), nausea (85,7%) and headache (71,4%). Physical examination found was fever (100%) and hepatomegaly (12,2%). Laboratory tests showed normal hematocrit values (71,4%), thrombocytopenia values (87,8%), normal leukocyte values (49%), positive IgG serology tests (83,7%), IgM serology tests (71,4%), Positive IgM and IgG Serology test (69,3%), and NS1 Serology test (2%). Management provided is the administration of intravenous infus fluid drops (100%), PPI (87,8%), H2 Antagonist (4,1%), and Antipiretik (83,7%). The outcome patient is recovered and no complications were found. Conclusion: Dengue Hemorrhagic fever occurs in the age range of 18-25 years with dominant clinical characteristic of fever and thrombocytopenia. And, the most given treatment is Intravena Fluid therapy. 

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