Management of a patient with dengue virus infection and tetralogy of Fallot

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Arfijanto, M.V.^1 ; Oktiawan, E.^2 ; Purwati^1 ; Hadi, U.^1

Division of Tropical Medicine and Infectious Disease, Department of Internal Medicine Faculty of Medicine, University of Airlangga-RSUD Dr. Soetomo, Surabaya, Indonesia^1

University of Airlangga-RSUD Dr. Soetomo, Surabaya, Indonesia^2

关键词: Congenital heart disease;    Heart defects;    Heart disease;    Heart failure;    Management IS;    Recovery phase;    Tetralogy of Fallot;    Viral infections;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012093/pdf
DOI  :  10.1088/1755-1315/125/1/012093

来源: IOP

【 摘 要 】

TOF belongs to cyanotic heart disease group, which has polycythemia and a high baseline hematocrit. A heart defect that features four problems:a hole between the lower chambers of the heart, an obstruction from the heart to the lungs, the aorta lies over the hole in the lower chambers, the muscle surrounding the lower right chamber becomes overly thickened. Dengue viral infection in patients with TOF would have a greater potential for the occurrence of heart failure because the baseline of hematocrit is already higher compare with non-congenital heart disease. A 22-year-old man complains offever and nausea since three days before hospitalized. The principal treatment is enough rest and rehydration to achieve normal range of hematocrit (around 65%) and to avoid drugs that may precipitate bleeding (like salicylic acid).In the management of this patient, we should be more careful because there wascomorbid with TOF. The focus of the management is to prevent dehydration during the critical phase and aware of overhydration in the recovery phase.