학술논문
Hemophagocytic syndrome in Dengue hemorrhagic fever with severe multiorgan complications.
Document Type
Academic Journal
Author
Srichaikul T; Department of Medicine, Vichaiyut Hospital, Bangkok, Thailand.; Punyagupta S; Kanchanapoom T; Chanokovat C; Likittanasombat K; Leelasiri A
Source
Publisher: Medical Association Of Thailand Country of Publication: Thailand NLM ID: 7507216 Publication Model: Print Cited Medium: Print ISSN: 0125-2208 (Print) Linking ISSN: 01252208 NLM ISO Abbreviation: J Med Assoc Thai Subsets: MEDLINE
Subject
Language
English
ISSN
0125-2208
Abstract
A 46 year old woman who presented with severe multiorgans involvement including liver brain, cardio-pulmonary failure, gastrointestinal bleeding, progressive cytopenia, DIC and hemophagocytic syndrome during the convalescent phase of Dengue type II has been successfully treated primarily with pulse methyl prednisolone and high dose intravenous immunoglobulin G. The authors believe that HPCS are not infrequently seen with high mortality and recommended early diagnosis and treatment with the regimen. This is the first complete report of hemophagocytic syndrome in adult dengue hemorrhagic fever in Thailand. The literature of HPCS in DHF was reviewed and discussed.