Publication:
Fulminant Hepatic Failure Due to Dengue

creativeworkseries.issn1812-2027
dc.contributor.authorSedhain, A
dc.contributor.authorAdhikari, S
dc.contributor.authorRegmi, S
dc.contributor.authorChaudhari, SK
dc.contributor.authorShah, M
dc.contributor.authorShrestha, B
dc.date.accessioned2025-08-18T07:42:34Z
dc.date.available2025-08-18T07:42:34Z
dc.date.issued2011
dc.descriptionSedhain A, Adhikari S, Regmi S, Chaudhari SK, Shah M, Shrestha B Department of Medicine Chitwan Medical College Bharatpur, Chitwan Nepal.
dc.description.abstractABSTRACT: Dengue Fever (DF) is only rarely considered as a cause of acute liver failure even globally and only a few case reports of acute hepatic failure and encephalopathy occurring in DF in adults are available. We report a case of Acute Liver Failure due to Dengue during a major outbreak in 2010 in Chitwan. A 20 year old previously healthy female presented to the emergency department of Chitwan Medical College with fever, jaundice and altered sensorium. She was tested positive for Dengue IgM. Her biochemical and clinical parameters were suggestive of acute liver failure with total billirubin of 10.1 mg/dL, direct billirubin of 5.2 mg/ dL, ALT 5760 IU, AST 14100 IU, alkaline phosphatase of 1250 IU, PT INR of 1.76 and platelet count of 30,000 /mm3. Other causes for acute hepatic failure like acute viral hepatitis, leptospirosis, malaria, Reye’s syndrome were ruled out. The patient was admitted and managed in the ICU with supportive care and platelet transfusion. With treatment she made a significant clinical and biochemical improvement with AST of 105 IU, ALT of 120 IU and platelet count of 150,000/mm3. She was discharged after 11 days of hospital stay. KEY WORDS Dengue, Dengue Hemorrhagic Fever, Fuminant Hepatic failure
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1750
dc.language.isoen_US
dc.publisherKathmandu University
dc.titleFulminant Hepatic Failure Due to Dengue
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage73
oaire.citation.startPage71
relation.isJournalIssueOfPublication315721ca-1b73-4f90-82bc-d9a284e68e9b
relation.isJournalIssueOfPublication.latestForDiscovery315721ca-1b73-4f90-82bc-d9a284e68e9b
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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