Medical Clinical Update Journal
Vol. 1 No. 1 (2022): October

Pediatric Dengue Encephalopathy: A Review

Ilham Setiorizaldi (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Amandianti Arimbi Tedjaningrum (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Cindy Grace Panggabean (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Enjelina Nangin (Faculty of Medicine, Maranatha Christian University, Bandung, West Java, Indonesia)
Jeffrey Christian Mahardhika (Unggul Karsa Medika Teaching Hospital, Bandung, West Java, Indonesia)
Chandni P. Daryanani (Unggul Karsa Medika Teaching Hospital, Bandung, West Java, Indonesia)



Article Info

Publish Date
17 Oct 2022

Abstract

Dengue encephalopathy is a very common neurological complication of dengue fever. Dengue encephalopathy or dengue hemorrhagic fever (DHF) with Central Nervous System (CNS) involvement used to be considered a relatively rare condition. However, the number of cases reported in human studies were increasing every year. Many factors caused the encephalopathy dengue. Possible mechanisms are hepatic failure (hepatic encephalopathy), cerebral hypoperfusion (shock), cerebral edema (vascular leakage) electrolyte disturbances, and intracranial hemorrhage due to thrombocytopenia or coagulopathy, which are secondary mechanisms of hepatic failure. Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI) of brain can be done to make certain of the diagnosis. The results can suggest the presence of extensive involvement of the bilateral cerebellar region, brain stem, and thalamus along with peculiar rim enhancement. Treatment in Intensive Care Unit (ICU) with a multidisciplinary team is required due to the patients’ decreased level of consciousness, underlying problems of airway, breathing, and circulation, comorbidities, and considerations of specific etiology.

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Journal Info

Abbrev

mcu

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Medical Clinical Update (MCU) Journal is a journal that discusses mainly about the latest developments of diseases that are often found in hospitals. This journal accepts case reports, research and reviews as well as medical images. The main purpose of this journal is to become an education tool for ...