Key result
Conservative management of a 21-year-old man with severe dengue fever complicated by rhabdomyolysis and acute kidney injury resulted in clinical improvement within 10 days.
Case Report (n=1)
Highlights the importance of early detection and conservative management of rhabdomyolysis in severe dengue to prevent progression to acute renal failure.
Supports conservative management in select severe dengue cases; hypothesis-generating, requires prospective validation before practice change.
Rhabdomyolysis is a rare but potentially lethal complication of severe dengue fever. We present a case of 21-year-old man with fever, bodyache and black coloured and decreasing amount of urine. He was positive for NS1 (non-structural protein-1) antigen and IgM antibody for dengue. Platelet count was below 20 × 10(9)/L and kidney function test was deranged. Urine was positive for myoglobin. The patient was managed emergently on conservative lines and improved in 10 days. Rhabdomyolysis should always be kept in mind in a patient with severe dengue, as its early detection and prompt management can prevent further progression to acute renal failure.
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Mishra et al. (2015) conducted a case report in Dengue fever with rhabdomyolysis and acute kidney injury (n=1). Conservative management was evaluated on Clinical improvement. Conservative management of a 21-year-old man with severe dengue fever complicated by rhabdomyolysis and acute kidney injury resulted in clinical improvement within 10 days.
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