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Renal Manifestations in Children with Dengue Fever Hospitalized in Pediatric Intensive Care Unit

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Abstract

Objective

To study the pattern of acute kidney injury in children with dengue infection hospitalized in an intensive care unit.

Methods

This is a retrospective study from January 2019 through December 2019. Various renal manifestations of dengue were studied and compared between the severity of dengue fever.

Results

Three hundred nineteen children with dengue fever were hospitalized and 127 needed intensive care admission. Among the 127 patients, 26 (20.5%) children developed acute kidney injury (AKI). Children with severe dengue developed a higher number of AKI (n = 20; 28.6%), as compared to dengue with warning sign group (n = 6; 11.8%). Colloid infusion, inotropic support, ventilatory requirement and presence of secondary hemophagocytic lymphohistiocytosis were the risk factors for AKI. Nine children underwent dialysis. Among the AKI group, 23 recovered and 3 died and all three had multi organ dysfunction syndrome.

Conclusions

It is essential to recognize the various renal manifestations of dengue AKI which is associated with increased mortality and morbidity.

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Authors and Affiliations

  1. Department of Pediatric Medicine, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamilnadu, India

    Mahalakshmi Rajan, Sangeetha Geminiganesan, Shuba Sankaranarayanan, Ramachandran Padmanaban & Mahalakshmi Panneer Selvam

Authors
  1. Mahalakshmi Rajan
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  2. Sangeetha Geminiganesan
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  3. Shuba Sankaranarayanan
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  4. Ramachandran Padmanaban
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  5. Mahalakshmi Panneer Selvam
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by SG, MR, SSN, RP and MPS. The first draft of the manuscript was written by SG and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. RP will act as Guarantor for this paper.

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Correspondence to Sangeetha Geminiganesan.

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Rajan, M., Geminiganesan, S., Sankaranarayanan, S. et al. Renal Manifestations in Children with Dengue Fever Hospitalized in Pediatric Intensive Care Unit. Indian J Pediatr 87, 1014–1017 (2020). https://doi.org/10.1007/s12098-020-03402-z

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  • DOI: https://doi.org/10.1007/s12098-020-03402-z

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