1.
Int J Infect Dis
; 16(7): e565-9, 2012 Jul.
Artigo
em Inglês
| MEDLINE
| ID: mdl-22521778
RESUMO
The place of steroids in the management of severe forms of dengue is unclear. A retrospective observational study showed the benefits of a single dose of intravenous methyl prednisolone in a highly selected group of patients who developed severe dengue during the febrile phase of infection. We report the case of a 14-year-old boy with dengue who developed three episodes of severe hemodynamic compromise while having high fever, 'myocarditis', third space fluid accumulation, progressive reduction in urine output, and altered mentation, who made a dramatic recovery following a single dose of intravenous methyl prednisolone. Results justify a well powered randomized controlled trial to evaluate the efficacy of this treatment in severe dengue.
Assuntos
Dengue/tratamento farmacológico , Miocardite/tratamento farmacológico , Dengue Grave/tratamento farmacológico , Adolescente , Dengue/complicações , Dengue/virologia , Glucocorticoides/administração & dosagem , Glucocorticoides/uso terapêutico , Humanos , Masculino , Metilprednisolona/administração & dosagem , Metilprednisolona/uso terapêutico , Miocardite/virologia , Dengue Grave/terapia , Dengue Grave/virologia , Resultado do Tratamento
2.
Ceylon Med J
; 49(3): 98-9, 2004 Sep.
Artigo
em Inglês
| MEDLINE
| ID: mdl-15524233
3.
Ceylon Med J
; 2004 Sep; 49(3): 98-9
Artigo
em Inglês
| IMSEAR
| ID: sea-49009