Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges
Dublin Core
Title
Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges
Subject
dengue shock syndrome; thrombosis; acute kidney injury;
inferior vena cava; anticoagulants
inferior vena cava; anticoagulants
Description
Background: Dengue Shock Syndrome (DSS) is a severe complication of
dengue fever that can lead to life-threatening conditions such as thrombosis
and acute kidney injury (AKI). These rare complications highlight the
importance of early recognition and multidisciplinary management to improve
clinical outcomes.
Purpose: This case study aims to report and discuss the clinical management
and outcomes of a patient with DSS complicated by inferior vena cava
thrombosis and AKI, focusing on nursing interventions and therapeutic
strategies.
Methods: This manuscript reports a case by utilizing the patient’s baseline
data, clinical progression, and treatment outcomes. A middle-aged male
patient presented to the emergency department with high fever, shock,
and signs of plasma leakage. Laboratory and imaging findings confirmed
DSS with AKI and inferior vena cava thrombosis. The patient received fluid
resuscitation, inotropic support, anticoagulation therapy, and multidisciplinary
care, including close nursing monitoring.
Results: After seven days of hospitalization, the patient showed significant
improvement, with resolution of shock, normalization of platelet count, and
recovery of renal function. Comprehensive nursing care, including vital
sign monitoring, medication management, and patient education, played a
pivotal role in the recovery process. At a follow-up visit on day 12, the patient
demonstrated full recovery with no complications.
Conclusion: This case highlights the importance of early diagnosis and
a multidisciplinary approach, including cautious anticoagulation therapy,
to effectively manage DSS with thrombosis and AKI. Integrating nursing
interventions and strict monitoring were crucial to achieving positive clinical
outcomes. This report provides valuable insights into managing similar
cases in endemic areas.
dengue fever that can lead to life-threatening conditions such as thrombosis
and acute kidney injury (AKI). These rare complications highlight the
importance of early recognition and multidisciplinary management to improve
clinical outcomes.
Purpose: This case study aims to report and discuss the clinical management
and outcomes of a patient with DSS complicated by inferior vena cava
thrombosis and AKI, focusing on nursing interventions and therapeutic
strategies.
Methods: This manuscript reports a case by utilizing the patient’s baseline
data, clinical progression, and treatment outcomes. A middle-aged male
patient presented to the emergency department with high fever, shock,
and signs of plasma leakage. Laboratory and imaging findings confirmed
DSS with AKI and inferior vena cava thrombosis. The patient received fluid
resuscitation, inotropic support, anticoagulation therapy, and multidisciplinary
care, including close nursing monitoring.
Results: After seven days of hospitalization, the patient showed significant
improvement, with resolution of shock, normalization of platelet count, and
recovery of renal function. Comprehensive nursing care, including vital
sign monitoring, medication management, and patient education, played a
pivotal role in the recovery process. At a follow-up visit on day 12, the patient
demonstrated full recovery with no complications.
Conclusion: This case highlights the importance of early diagnosis and
a multidisciplinary approach, including cautious anticoagulation therapy,
to effectively manage DSS with thrombosis and AKI. Integrating nursing
interventions and strict monitoring were crucial to achieving positive clinical
outcomes. This report provides valuable insights into managing similar
cases in endemic areas.
Creator
Nurhasan Agung Prabowo1,3* , Yulia Sari2 , Desy Puspa Putri1, 3 , Sopia
Nur Habibah1 , Azkia Rachmah1 , Hartono Hartono3
Nur Habibah1 , Azkia Rachmah1 , Hartono Hartono3
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
December 30, 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Nurhasan Agung Prabowo1,3* , Yulia Sari2 , Desy Puspa Putri1, 3 , Sopia
Nur Habibah1 , Azkia Rachmah1 , Hartono Hartono3, “Thrombosis of the inferior vena cava and acute kidney injury in dengue shock syndrome: A rare case with unique nursing challenges,” Repository Horizon University Indonesia, accessed February 11, 2026, https://repository.horizon.ac.id/items/show/10738.