Department of Pediatrics, Lilavati Hospital and Research Centre, Mumbai, India.
Indian J Pediatr. 2012 Mar;79(3):386-8. doi: 10.1007/s12098-011-0551-5. Epub 2011 Aug 13.
The authors present 2 cases of dengue shock syndrome with unusual complications. In the first case, a 14-y-old boy with dengue shock syndrome who required aggressive fluid resuscitation, developed abdominal compartment syndrome (ACS). Patient developed severe shock, increased ventilator requirement and oliguria as a consequence of ACS. Patient responded well to abdominal paracentesis draining 2.7 l of fluid and made rapid recovery. In the second case, 8-y-old girl was treated for dengue shock syndrome, including mechanical ventilation for ARDS. In the second wk of illness, she developed severe neurological manifestations including frequent episodes of convulsions, hallucinations and altered sensorium. She was diagnosed to have acute demyelinating encephalomyelitis from CT brain findings. She responded well to pulse steroid therapy with complete neurological recovery.
作者报告了 2 例伴有不常见并发症的登革热休克综合征病例。在第一个病例中，一名 14 岁男孩患有登革热休克综合征，需要积极的液体复苏，发生了腹腔间隔室综合征（ACS）。患者因 ACS 出现严重休克、呼吸机需求增加和少尿，对腹腔穿刺引流 2.7 升液体反应良好，并迅速康复。在第二个病例中，一名 8 岁女孩因登革热休克综合征接受治疗，包括机械通气治疗急性呼吸窘迫综合征。在疾病的第二周，她出现了严重的神经系统表现，包括频繁发作的抽搐、幻觉和意识改变。根据 CT 脑检查结果，她被诊断为急性脱髓鞘性脑脊髓炎。她对脉冲类固醇治疗反应良好，神经功能完全恢复。
