Fluid resuscitation, laryngeal oedema and severe dengue
نویسنده
چکیده
The publication on ‘Fluid resuscitation, laryngeal oedema and severe dengue’ is very interesting.[1] Saran and Azim reported a case and raised an interesting question ‘can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue?’[1] Indeed, good monitoring is required for fluid therapy for severe dengue since the complication of fluid overload is possible.[2] There is no doubt that the laryngeal oedema can be a complication due to resuscitation and orotracheal intubation.[3] Nevertheless, respiratory tract bleeding and oedema can be seen in severe dengue regardless of resuscitation.[2,4] In fatal dengue cases, respiratory organs are the main affected organs.[4,5] Close monitoring of airway, breathing and circulation in any patients with severe dengue regardless of fluid therapy is needed.
منابع مشابه
Can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue?
We sincerely thank the authors for their questions. We accept that bleeding in respiratory tract can be a complication of severe dengue, but it did not occur in our illustrated case.[1] It is difficult to point to a single factor that is responsible, as the disease manifests with multi-organ involvement. We suggest fluid resuscitation as an additional risk factor which is rarely discussed in th...
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