Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
free free
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Impact of renal failure on the outcome of dengue viral infection Kuo MC; Lu PL; Chang JM; Lin MY; Tsai JJ; Chen YH; Chang K; Chen HC; Hwang SJClin J Am Soc Nephrol 2008[Sep]; 3 (5): 1350-6BACKGROUND AND OBJECTIVES: In the 2002 dengue outbreak in Taiwan, some fatal cases had the underlying disease of renal failure (RF). Physicians faced difficulty in diagnosis and treatment of these patients; however, the impacts of RF on the clinical presentations and outcomes of dengue infection have not been reported previously. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A retrospective review was conducted of medical records, clinical presentations, laboratory findings, and underlying diseases for all cases of dengue infection in a medical center. Characteristics and outcomes of dengue-infected patients with and without RF were compared. RESULTS: From January 2002 through January 2003, 519 dengue-infected patients were enrolled, including 412 patients with classical dengue fever (DF) and 107 patients with dengue hemorrhagic fever (DHF)/dengue shock syndrome (DSS). Twelve patients died in this outbreak, and all had DHF/DSS. Twenty-one (4.0%) patients were defined as being in the RF group. The RF group had a higher mortality rate than non-RF group (28.6 versus 1.2%; P < 0.001). The severity of GFR impairment was associated with higher percentages of DHF/DSS (P = 0.029) and mortality (P < 0.001). Differences in symptoms/signs and laboratory abnormalities between DF and DHF/DSS were significant in the non-RF group but not apparent in the RF group. CONCLUSIONS: The diagnosis and management of dengue infection among patients with RF must be cautious, because complicated clinical courses with a higher mortality rate were well observed.|Adult[MESH]|Creatinine/blood[MESH]|Dengue/*complications/drug therapy/mortality/physiopathology[MESH]|Female[MESH]|Glomerular Filtration Rate[MESH]|Humans[MESH]|Kaplan-Meier Estimate[MESH]|Kidney Failure, Chronic/*complications/mortality/physiopathology/therapy[MESH]|Logistic Models[MESH]|Male[MESH]|Middle Aged[MESH]|Odds Ratio[MESH]|Renal Replacement Therapy[MESH]|Retrospective Studies[MESH]|Risk Assessment[MESH]|Severe Dengue/*complications/drug therapy/mortality/physiopathology[MESH]|Severity of Illness Index[MESH]|Taiwan/epidemiology[MESH]|Time Factors[MESH]|Treatment Outcome[MESH] |