A Very Rare Case of Expanded Dengue Syndrome with Acute Liver Failure, Rhabdomyolysis, Acute Kidney Injury and ARDS: Successfully Treated with Haemoadsorption, Hemodialysis, and Plasma Exchange

Authors

  • Mithun Kumar Mondal Intensivist, Specialist in Charge, Emergency Casualty Centre, Combined Military Hospital (CMH), Dhaka
  • Dilruba Akhter Jima Graded Specialist, Critical Care Centre, CMH Dhaka
  • Sadat Bin Siraj Senior Intensivist, Critical Care Centre and Emergency Casualty Centre, CMH Dhaka

DOI:

https://doi.org/10.3329/bccj.v13i1.81296

Keywords:

Expanded Dengue Syndrome, Haemoadsorption, Plasma Exchange

Abstract

Expanded dengue syndrome, accompanied by liver failure, rhabdomyolysis, acute kidney injury, and severe acute respiratory distress syndrome (ARDS), represents a highly lethal condition with a significantly elevated mortality rate. Conventional treatments are ineffective in addressing all these complications concurrently. This case report discusses a young male patient who underwent haemoadsorption, hemodialysis, and subsequently plasma exchange. The patient achieved full recovery without any residual impairment. This report presents the first instance of a dengue patient undergoing simultaneous haemoadsorption and hemodialysis, followed by plasma exchange.

Bangladesh Crit Care J March 2025; 13 (1): 51-55

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Published

2025-05-08

How to Cite

Mithun Kumar Mondal, Dilruba Akhter Jima, & Sadat Bin Siraj. (2025). A Very Rare Case of Expanded Dengue Syndrome with Acute Liver Failure, Rhabdomyolysis, Acute Kidney Injury and ARDS: Successfully Treated with Haemoadsorption, Hemodialysis, and Plasma Exchange. Bangladesh Critical Care Journal, 13(1), 51–55. https://doi.org/10.3329/bccj.v13i1.81296

Issue

Section

Case Reports