Dengue haemorrhagic fever with unusual manifestations.

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dc.contributor.authorNimmannitya, Sen_US
dc.contributor.authorThisyakorn, Uen_US
dc.contributor.authorHemsrichart, Ven_US
dc.date.accessioned2009-05-27T15:55:06Z
dc.date.available2009-05-27T15:55:06Z
dc.date.issued1987-09-01en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractA retrospective study on 18 cases of DHF presented with jaundice and neurological signs which were considered unusual manifestation of DHF reveals that the causes or contributing factors are multifactorial. Most commonly found associated conditions were prolonged shock with metabolic acidosis and severe DIC that lead to hypoxia/ischaemia and resulted in both hepatic and brain dysfunction. Gross haemorrhage in the brain was noted in 6 of the 10 fatal cases while brain oedema was noted in 3 cases. Electrolyte disturbance such as hyponatremia could be another cause of brain oedema. It is certain from this study that there is no pathological evidence of encephalitis. Hepatic dysfunction found in associated with jaundice and encephalopathy is possibly caused by toxic substances, drugs and/or associated with underlying liver conditions. Reye's or Reye's-like syndrome was postulated in one case.en_US
dc.description.affiliationChildren's Hospital, Bangkok, Thailand.en_US
dc.identifier.citationNimmannitya S, Thisyakorn U, Hemsrichart V. Dengue haemorrhagic fever with unusual manifestations. The Southeast Asian Journal of Tropical Medicine and Public Health. 1987 Sep; 18(3): 398-406en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/33978
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/publication.htmen_US
dc.subject.meshBrain Diseases --etiologyen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshConsciousness Disorders --etiologyen_US
dc.subject.meshDengue --complicationsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshLiver Diseases --etiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshSeizures --etiologyen_US
dc.titleDengue haemorrhagic fever with unusual manifestations.en_US
dc.typeJournal Articleen_US
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