Arora Shalabh, Nathaniel Samson Devakiruba, Paul Joseph Chacko, Hansdak Samuel George
Department of Internal Medicine, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
BMJ Case Rep. 2015 May 24;2015:bcr2015209443. doi: 10.1136/bcr-2015-209443.
While dengue virus infection leads to a mild to moderate elevation of liver transaminases in almost all cases, hepatic failure rarely dominates the clinical picture in adults. We present a case of dengue haemorrhagic fever in a young adult, leading to the rare complication of acute liver failure. He was managed with supportive care and discharged after 5 days. At follow-up after 1 week, he had complete recovery and no residual symptoms.
虽然登革热病毒感染在几乎所有病例中都会导致肝转氨酶轻度至中度升高,但肝衰竭在成人临床症状中很少占主导地位。我们报告一例年轻成人登革出血热病例,该病例导致了罕见的急性肝衰竭并发症。他接受了支持性治疗,并在5天后出院。在1周后的随访中,他已完全康复且无残留症状。