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二次登革热感染中的扩展型登革热综合征:一例经活检证实的横纹肌溶解症诱发急性肾损伤伴颅内及眶内出血的病例。

Expanded dengue syndrome in secondary dengue infection: A case of biopsy proven rhabdomyolysis induced acute kidney injury with intracranial and intraorbital bleeds.

作者信息

Tansir Ghazal, Gupta Chhavi, Mehta Shubham, Kumar Prabhat, Soneja Manish, Biswas Ashutosh

机构信息

Department of Medicine, All India Institute of Medical Science, New Delhi, India.

出版信息

Intractable Rare Dis Res. 2017 Nov;6(4):314-318. doi: 10.5582/irdr.2017.01071.

Abstract

Dengue fever is endemic in the Indian subcontinent and can have myriad presentations. The term expanded dengue syndrome (EDS) is used for atypical manifestations in dengue fever. We present a rare case of EDS in a patient with secondary dengue infection who developed rhabdomyolysis induced acute kidney injury (RAKI) along with intracranial and intraorbital bleeds. Patient was successfully managed in our institute and was discharged in stable condition. To the best of our knowledge, this is the only reported case of simultaneous occurrence of these complications in a dengue patient. This case is being presented to make clinicians aware of the spectrum of dengue infection.

摘要

登革热在印度次大陆为地方性流行病,且可有多种表现形式。术语“扩展型登革热综合征(EDS)”用于描述登革热的非典型表现。我们报告了1例罕见的EDS病例,该患者为继发性登革热感染,并发横纹肌溶解诱导的急性肾损伤(RAKI)以及颅内和眶内出血。患者在我们研究所得到成功救治,出院时病情稳定。据我们所知,这是唯一1例报告的登革热患者同时出现这些并发症的病例。现将该病例呈现出来,以使临床医生了解登革热感染的范围。

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本文引用的文献

1
Expanded Dengue.登革热扩展型
J Assoc Physicians India. 2016 Jul;64(7):59-63.
3
Rhabdomyolysis and acute kidney injury in dengue fever.登革热中的横纹肌溶解症和急性肾损伤。
BMJ Case Rep. 2015 Jul 14;2015:bcr2014209074. doi: 10.1136/bcr-2014-209074.
4
Acute kidney injury in dengue virus infection.登革病毒感染中的急性肾损伤
Clin Kidney J. 2012 Oct;5(5):390-4. doi: 10.1093/ckj/sfs117.
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Dengue-associated kidney disease.登革热相关性肾病
J Nephropathol. 2014;3(2):57-62. doi: 10.12860/jnp.2014.13. Epub 2013 Dec 28.
7
Non-hemorrhagic dengue fever with rhabdomyolysis.非出血性登革热伴横纹肌溶解症
Saudi J Kidney Dis Transpl. 2013 Nov;24(6):1207-9. doi: 10.4103/1319-2442.121296.

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