Table 1 Summary of important clinical and laboratory data of 3 fatal cases of dengue with the list of complications
From: Heart and liver are infected in fatal cases of dengue: three PCR based case studies
Description of case | Clinical status on admission and subsequently | Investigations | Complications | Duration of illness from onset to death | ||
|---|---|---|---|---|---|---|
No | Age/Gender | Test | Results | |||
1 | 34 / M | Fever 3 days | WBC | 3.5 × 109/l | Persistent hypotension | 5 days |
Postural giddiness | Platelets | 28 × 109/l | Fluid overload | |||
Cold peripheries | Creatinine | 193 μmol/l | Pulmonary oedema | |||
BP: 80/50 mmHg | CRP | 320 mg/l | Left ventricular- | |||
Pulse rate 98/min | ALT | 73 U/L | hypokinesia | |||
Convulsions | AST | 98 U/L | Hypoxaemia | |||
Assisted ventilation | Troponin I | 0.29 ng/ml | Sepsis | |||
PH | 7.1 | Lactic acidosis | ||||
Pco2 | 44 mmHg | Bleeding | ||||
PaO2 | 61 mmHg | Renal failure | ||||
2 | 36/M | Type 2 diabetes | WBC | 3.7 × 109/l | Erratic critical phase | 6 days |
Fever 3 days | Platelets | 34 × 109/l | Undue tachycardia | |||
BP 130/80 mmHg | Creatinine | 82.5 μmol/l | Hypotension | |||
Pulse rate 90/min | Blood sugar | 233 mg/dl | Fulminant hepatic | |||
Critical phase on | ALT (day- 3) | 383 U/L | failure | |||
4th day with pleural effusion, tachycardia and low BP 100 mmHg Melaena, Reduced urine out put | (day-4) | 4905 U/L | GI- bleeding | |||
AST (day-3) | 463 U/L | Acute kidney injury | ||||
(day-4) | 9371 U/L | Lactic acidosis | ||||
INR (day-5) | > 5 | |||||
PH (day-5) | 7.32 | |||||
3 | 40/F | Bronchial asthma | WBC | 8.2 × 109/l | Profound shock on | 6 days |
Fever 4 days | Platelet | 28 × 109/l | admission | |||
Vomiting, shock | HCt | 37 | Pleural effusions | |||
Cold peripheries | Creatinine | 84 μmol/l | Fulminant hepatic | |||
BP – un-recordable | Albumin | 30.8 g/l | failure | |||
Pulse-108/ min | ALT(day-4) | 1365 U/L | Encephalopathy | |||
US-Ab: fluid leak | (day-7) | 2590 U/L | ||||
Abdominal pain | AST (day-4) | 2999 U/L | ||||
Melaena Confusion | (day-5) | 6812 U/L | ||||