Hemorrhagic fever increases abnormally in HCMC

According to Deputy Director of Preventive Medicine Center Nguyen Dac Tho, the first two months of the year have more than 1,200 cases of dengue fever. The number of people infected with the disease next week is higher than the previous week. This is unusual because this disease often has to be reduced during the dry season.

If the cycle is correct, annual hemorrhagic fever usually breaks out from April to September. In sunny months, there are usually no or very few patients admitted to hospital. But now, hospitals in the city still regularly receive dengue patients.

Compared to the same period last year, the number of inpatient patients nearly doubled at Children's Hospital I, Nhi Dong II, Hospital for Tropical Diseases, Gia Dinh People's .

Patients under treatment at Children's Hospital I. (Photo: VNE)

In particular, "The proportion of children under 18 months of age infected with disease accounts for a significant proportion. Parents must not be caught off guard with this disease at any age" , Dr. Tran Thi Thuy, Deputy Head of Infection Department Children's Hospital II, said.

The number of hospitalizations for severe shock is quite high. According to Dr. Van Bich, Head of the Pediatrics Department of Gia Dinh People's Hospital, among cases of dengue fever hospitalized every day, cases of severe shock are usually 8-10 years old children. Duration of treatment 9-10 days, longer than 1-2 days before."This is a difference in treatment time. This difference may be due to the changing epidemiological situation," Dr. Bich added.

Doctor Tran Tinh Hien, deputy director of Tropical Diseases Hospital, said that in fact, patients were hospitalized in severe shock often in deep areas. Because I do not understand, when I have a fever, I think it will be gone. But in fact, the danger of the disease is often when people run out of fever, which is a period of severe shock that can jeopardize a patient's life.

In early February, Gia Dinh Hospital received a case of dengue in a state of high fever, black blood vomit, severe abdominal pain and fluid accumulation in the abdomen, along with other manifestations such as acute pancreatitis, anemia. Platelet. After being transmitted to 13 units of fresh blood to regulate coagulopathy, the state of abdominal bleeding and hemorrhage in the pleura continues. The treating doctor must refer to the world literature in combination with the new experience to get the right treatment for the patient. It was reported that there was a similar case in Taiwan in 2004 but at a lower level. Specialists diagnosed may be a complication of late-stage dengue.

According to Dr. Hien, although it is still confirmed that mosquitoes are the culprit for the transmission of dengue fever, there is still a lot of uncertainty about how to cause the disease. In fact, adults who have the disease show more dengue fever than children but less shock and benign. Through surveys, the clinical situation of adults has many different manifestations than children. In addition to the symptoms of dengue, there are some other signs that have not been noticed such as: liver damage; In adults, liver enzymes increase a lot but do not cause jaundice; The factor of coagulation due to any factor has not been studied.

Dr. Hien said: " In the same family, if there is one person who is hospitalized, there are certainly many others who have been infected but do not know why they are not sick . "

At present, the Tropical Diseases Hospital cooperates with some other hospitals to investigate this issue by asking for permission to take blood from family members who have been hospitalized for testing. However, this job is quite difficult, although the medical staff explained the purpose of taking blood for testing but there are many people who still do not support for fear of "bad luck".

My Lan