Rationale:Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos.It can cause life threatening complications,including dengue haemorrhagic fever(DHF)and dengue shock synd...Rationale:Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos.It can cause life threatening complications,including dengue haemorrhagic fever(DHF)and dengue shock syndrome.Patient concerns:A 15-year-old male presented with fever and petechiae and later developed hemoptysis.Diagnosis:Dengue fever with DHF with diffuse alveolar hemorrhage.Interventions:Invasive ventilation with high positive end expiratory pressure,multiple transfusions of packed red blood cells,fresh frozen plasma,single donor platelets and inotropic support Outcomes:The patient was stabilized and discharged on minimal supplemental oxygen.Lessons:Diffuse alveolar hemorrhage,although very rare,should be considered in a patient with dengue who presents with hemoptysis.The treatment is directed at providing respiratory and circulatory support,and preventing the progression of microcirculation damage.展开更多
在一个温暖舒适的6月早晨,波士顿当地的一批政要齐聚一堂,庆祝波士顿新海港区将增添一颗新的明珠:一座17层高的塔楼,它将容纳1000名万通保险(Massachusetts Mutual Life Insurance Co.)的员工。这座投资2.4亿美元的建筑将兼具艺术性和...在一个温暖舒适的6月早晨,波士顿当地的一批政要齐聚一堂,庆祝波士顿新海港区将增添一颗新的明珠:一座17层高的塔楼,它将容纳1000名万通保险(Massachusetts Mutual Life Insurance Co.)的员工。这座投资2.4亿美元的建筑将兼具艺术性和工程性,外墙面将是波浪起伏状、用以反射港口涟漪水面的玻璃幕墙,让它看起来就像从海洋深处升上来一样。展开更多
文摘Rationale:Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos.It can cause life threatening complications,including dengue haemorrhagic fever(DHF)and dengue shock syndrome.Patient concerns:A 15-year-old male presented with fever and petechiae and later developed hemoptysis.Diagnosis:Dengue fever with DHF with diffuse alveolar hemorrhage.Interventions:Invasive ventilation with high positive end expiratory pressure,multiple transfusions of packed red blood cells,fresh frozen plasma,single donor platelets and inotropic support Outcomes:The patient was stabilized and discharged on minimal supplemental oxygen.Lessons:Diffuse alveolar hemorrhage,although very rare,should be considered in a patient with dengue who presents with hemoptysis.The treatment is directed at providing respiratory and circulatory support,and preventing the progression of microcirculation damage.
文摘在一个温暖舒适的6月早晨,波士顿当地的一批政要齐聚一堂,庆祝波士顿新海港区将增添一颗新的明珠:一座17层高的塔楼,它将容纳1000名万通保险(Massachusetts Mutual Life Insurance Co.)的员工。这座投资2.4亿美元的建筑将兼具艺术性和工程性,外墙面将是波浪起伏状、用以反射港口涟漪水面的玻璃幕墙,让它看起来就像从海洋深处升上来一样。
