• question-icon

    Suggest treatment for severe dengue

default
Posted on Mon, 16 Apr 2018 in Infections
Question: Hi, my brother is diagnosed with severe dengue in the Philippines. He's in the ICU at the moment. I am overseas and would like to know if his life is in danger. His blood pressure and temperature are back to normal however he has a rapid heart rate. He's already gotten a blood transfusion and now in oxygen therapy.
But later in the day, fluid accumulated in his lungs. Is this very dangerous or easy to treat? Is he getting better or worse? Thank you so much
doctor
Answered by Dr. Monika Dede 1 hour later
Brief Answer:
Yes his life is in danger situation.

Detailed Answer:
Hello,
Thank you writing in healthcare magic.


Based on the fact that he has a severe form of dengue you should know that his life is in danger situation.
We cannot say for the moment if he will be better or not.
Having a normal fever and blood pressure it is a good news but having pulmonary problem the prognosis could be reserved.

I hope my answer helps you.
I wish your brother a fast recovery.
Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Monika Dede 11 minutes later
Thank you so much doctor.

He was injected something and he is urinating it out. He also has some rashes. Are these good things?

How do we take out the liquid from his lungs?
doctor
Answered by Dr. Monika Dede 23 hours later
Brief Answer:
Use of diuretics and oxygen therapy are the treatment in this cases.

Detailed Answer:
Hello,
Thank you writing back.


If he has pulmonary edema, having urination after diuretic injection is a good thing.
Use of diuretics and oxygen therapy are the treatment in this cases.
As well monitoring electrolytes, albumin. total protein in blood, renal function is indicated.

I hope my answer helps you.
Regards.



Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Monika Dede 8 hours later
Thank you so much doctor for that detailed answer.

He has developed rash again? Why is that?
Also, there are times when he's talking nonsense. What could be the reason?
Is he still in critical condition or he's in stable condition now?


Hi doctor. I am now in Philippines to see my brother. I cried when I saw him because its so hard seeing him in that state.


what do these things mean?
The doctor told us that he woke up to ask for food?
He has not pooped in a while. Is that because he has not eaten real food? When can he start eating again?

doctor
Answered by Dr. Monika Dede 27 hours later
Brief Answer:
He is still in critical situation.

Detailed Answer:
Hello,
I am sorry for my late response.

Based on your data, talking nonsense I think he is still in critical situation.
He has not pooped out because his intestin has not a good movement staying for a long time lying in bed.
It is a good news that he asked to eat.He can eat again after this situation could be better.

I hope my answer helps you.
Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Monika Dede

Infectious Diseases Specialist

Practicing since :2003

Answered : 940 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Pulmonary edema

doctor1 MD

46 ur old female s/p left breast ca in 1998. Treated with 650 of adriamycin. Was. Admitted to hosotal on 1/25 with cardiomyopathy, ef of 20 and...

doctor1 MD

my husband is 95 years old, he has developed a cough usually in a form of spell to last up to 30 minutes to an hour, he has taken 2 rounds of...

doctor1 MD

My 83 year aunt devoloped pneumonia overnight without being sick prior to getting weak and going to er. I am worried that it is a potential sign of...

doctor1 MD

A week after the birth of my first child, I was hospitalized with postpartum cardiomyopathy with pulmonary edema (my heart is slightly enlarged as...

doctor1 MD

death occured of below 14 year girl child due to rentec injection given in acidity case and also given nexpro 40 fast,somprar fast .is it said case...

doctor1 MD

my mom age 68 diagnosed for pulmonary edema , hypoxia got treated at hospital . was given anti depression drugs , duolin, budecort nebulizer and...

Get personalised answers from verified doctor in minutes across 80+ specialties

165 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Monika Dede
  • Q - Can HIV be contracted from biting someone on the clothing?

  • Q - Suggest treatment for fever, lack of appetite and loose stool

  • Q - Suggest treatment for persistent headache while on antibiotics

  • Q - Suggest treatment for recurrent malaria

  • Q - What does my IGG result report indicate?

  • Q - What causes lymph node swelling while treating tuberculosis?

  • Q - Can HIV be contracted through oral sex?

  • Q - Suggest treatment for red bumps on the vaginal lips and inner groin area

  • Q - Suggest treatment for severe sore throat and jaw pain

  • Q - Is HIV RNA test done 2 weeks post exposure conclusive?

backtotop2