Open AccessCase Report: A Case of Acute Intravascular Hemolysis in Dengue Fever
Author(s) -
Kolitha H. Sellahewa,
Mohan Kumaratne,
Shane Halpe,
Kavindya Marapana
Publication year - 2020
Publication title -
american journal of tropical medicine and hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.015
H-Index - 151
eISSN - 1476-1645
pISSN - 0002-9637
DOI - 10.4269/ajtmh.19-0743
Subject(s) - dengue fever , complication , medicine , hemolysis , hemoglobinuria , acute kidney injury , diuresis , intensive care medicine , surgery , immunology , kidney
Acute intravascular hemolysis (AIH) with hemoglobinuria is a rare complication of dengue viral infection. Review of the literature revealed only one report of AIH as a complication of dengue fever (DF). We report a case of AIH with massive hemoglobinuria in a 17-year-old Sri Lankan male, in the febrile phase of DF. This unusual and rare complication warranted forced diuresis, to prevent acute kidney injury. This was a departure from the recommended fluid therapy for DF.
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