Acute kidney injury in severe dengue
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 11
Abstract
Background: Several forms of renal involvement have been identified in patients with dengue, including proteinuria, glomerulonephritis, and IgA nephropathy to acute kidney injury (AKI). Objective: The objective of the study was to know the type of AKI and the outcome of patients with AKI. Materials and Methods: All serologically proven dengue patients admitted in our wards/pediatric intensive care unit (PICU) were included in the study. A detailed history was done and a thorough clinical examination was performed on all the included patients. They were monitored for pulse pressure, urine output, hemoglobin, packed cell volume, and platelet counts regularly. On admission, renal function tests were done and assessed for pre-renal or renal AKI. Patients were managed as per the WHO protocol for dengue. Results: Based on the pediatric risk, injury, failure, loss, and end-stage renal disease criteria, we encountered an incidence of 61.3% of AKI, of which 45% were at risk of developing AKI and 15.9% had developed kidney injury. All the patients had pre-renal type of AKI. There were no deaths seen, but the length of stay was prolonged in patients with AKI. Conclusion: It is possible to detect renal involvement at an early phase, and by strict monitoring of fluid status, timely management can reduce the morbidity and mortality.
Authors and Affiliations
Anjali J Edbor, Priyanka H Pandey
Keywords
Related Articles
- EP ID EP473953
- DOI -
- Views 75
- Downloads 0
Mortality profile and incidence of deaths due to neonatal sepsis in an urban tertiary care center in South India: A retrospective study
Background: The neonatal mortality rate is a key outcome indicator for newborn care and directly reflects prenatal, intrapartum, and neonatal care. Objective: Primary objective was to assess the neonatal mortality profil...
Hairpin impacted in the duodenum of a 4-month-old child - a rarity
Foreign body ingestion is common in children. The accidental ingestion is usually seen in children due to lingual curiosity. Most of the foreign body passes spontaneously through gastrointestinal (GI) tract; hence, requi...
Towards an ideal neonatal sepsis screen panel - A review
Neonatal sepsis is an important determinant of survival in the neonatal units. Early recognition and institution of antibiotic therapy is the key for successful treatment. Complete blood count and C-reactive protein are...
Neonatal resuscitation guidelines - A survey among pediatricians attending a newborn conference in North Kerala
Background: Meticulous understanding and adequate skills for prompt neonatal resuscitation by health-care personnel working in the labor, maternity, and newborn units is important. Various studies have identified areas o...
Neonatal lupus erythematous – A report of three cases
Neonatal lupus erythematosus (NLE) is a rare acquired autoimmune disorder clinically characterized by skin lesions that resemble those of subacute or discoid lupus erythematosus and/or congenital heart bock. Skin and car...