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Year : 2017  |  Volume : 61  |  Issue : 6  |  Page : 525  

Fluid resuscitation, laryngeal oedema and severe dengue

Faculty of Science , Surindra Rajabhat University, Nok Mueang, Thailand; Department of Tropical Medicine, Hainan Medical University, Haikou, China; Department of Community Medicine , Dr DY Patil University, Pune, Maharashtra, India; Faculty of Medicine, University of Niš, Niš, Serbia; Department of Biological Science , Joseph Ayobabalola University, Nigeria

Date of Web Publication12-Jun-2017

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand 10160

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ija.IJA_345_17

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How to cite this article:
Wiwanitkit V. Fluid resuscitation, laryngeal oedema and severe dengue. Indian J Anaesth 2017;61:525

How to cite this URL:
Wiwanitkit V. Fluid resuscitation, laryngeal oedema and severe dengue. Indian J Anaesth [serial online] 2017 [cited 2021 Aug 4];61:525. Available from: https://www.ijaweb.org/text.asp?2017/61/6/525/207764

Dear Editor,

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.

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   References Top

Saran S, Azim A. Can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue? Indian J Anaesth 2017;61:353-4.  Back to cited text no. 1
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Wiwanitkit V. Dengue fever: Diagnosis and treatment. Expert Rev Anti Infect Ther 2010;8:841-5.  Back to cited text no. 2
Hein HA. Cardiorespiratory arrest with laryngeal oedema in pregnancy-induced hypertension. Can Anaesth Soc J 1984;31:210-2.  Back to cited text no. 3
Rodrigues RS, Brum AL, Paes MV, Póvoa TF, Basilio-de-Oliveira CA, Marchiori E, et al. Lung in dengue: Computed tomography findings. PLoS One 2014;9:e96313.  Back to cited text no. 4
Marchiori E, von Ranke F, Zanetti G, Hochhegger B. Dengue hemorrhagic fever: Another cause of diffuse alveolar hemorrhage in immunocompetent patients. Respir Med 2012;106:1807-8.  Back to cited text no. 5


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