Dengue Hemorrhagic Shock and Disseminated Candidiasis

Dengue Hemorrhagic Shock and Disseminated Candidiasis
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DOI:
10.2169/internalmedicine.46.6354
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发表时间:
2007-01-01
期刊:
影响因子:
1.2
通讯作者:
Koike, Kazuhiko
Koike, Kazuhiko
中科院分区:
医学4区
文献类型:
--
作者:
Suzuki, Satoshi;Kitazawa, Takatoshi;Koike, Kazuhiko

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登革热是一种常见的地方性病毒性发热,常表现为发热、皮疹和轻度肝功能障碍。然而,登革病毒感染引起的血浆渗漏可导致登革出血热和登革休克综合征,并可引起严重的并发症,包括肝衰竭和脑病。登革热病毒感染其他病原体是一种罕见但严重的并发症。我们报告一例登革热休克综合征伴肝功能衰竭和意识障碍。患者出现了播散性热带念珠菌感染,这可能是由于真菌从登革热病毒损伤的肠道移位所致。
Dengue fever, one of the common endemic viral fevers, often presents with fever, rash, and mild liver dysfunction. However, plasma leakage induced by dengue virus infection can lead to dengue hemorrhagic fever and dengue shock syndrome, and it can cause severe complications including liver failure and encephalopathy. Infection of dengue virus with other pathogens is an unusual but serious complication. We report a case of dengue shock syndrome with liver failure and impaired consciousness. The patient developed a disseminated Candida tropicalis infection, which may have been due to translocation of the fungus from the intestine damaged by the dengue virus.