Medical history showed that Q. had a high fever for 3 consecutive days. On the 4th day, the fever subsided, he vomited brown curd, had a bloated abdomen, and had petechiae on his skin, so his family took him to the local hospital. There, it was noted that the child was restless, crying, had purple rashes on his skin, weak pulse, cool extremities, and unmeasurable blood pressure...
Test results showed that the child had concentrated blood. The child was immediately diagnosed with severe dengue shock and treated with anti-shock according to the protocol. Realizing that the child was overweight and obese, especially difficult to access the IV line, the doctors consulted and transferred the child to the City Children's Hospital.
On July 31, specialist doctor 2 Nguyen Minh Tien, City Children's Hospital, said that after receiving the child, he was actively treated and switched to high molecular weight dextran solution to prevent shock. The child's disease progression was very complicated, with prolonged fever, respiratory failure, liver damage, severe blood clotting disorders, gastrointestinal bleeding, bruising at the injection site, metabolic acidosis, and hypoglycemia.
The doctor had to expose the vein and insert a small catheter to provide an IV line for the child.
The child was treated actively with continuous positive airway pressure, anti-shock with high molecular solutions and vasopressors, liver support treatment such as blood sugar, electrolyte, acid-base adjustment, vitamin K1 injection, treatment of coagulation disorders with fresh frozen plasma transfusion, cryoprecipitate and platelet concentrate.
After nearly 2 weeks of treatment, the child's condition gradually improved, fever gone, weaned off oxygen, and feeding well.
Doctor Tien determined that this was a case of severe dengue shock, with complications of blood clotting disorders and multiple organ damage, making it difficult for doctors to make appropriate treatment decisions.
Doctor Tien recommends that during this time, heavy rain creates favorable conditions for Aedes mosquitoes to breed and spread dengue fever, so everyone needs to actively kill mosquitoes, kill larvae, and sleep under mosquito nets to avoid mosquito bites. Parents need to monitor and detect early signs of the disease to take their children to a medical facility promptly. If a child has a high fever for more than 2 days and shows one of the following signs, the child must be taken to the hospital immediately. Symptoms include fussiness, restlessness, restlessness or lethargy, abdominal pain, nosebleeds, bleeding gums or vomiting blood, black stools, cold hands and feet, lying in one place, not playing, refusing to breastfeed, refusing to eat or drink...
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