Dextran induced acute kidney injury in a patient with dengue haemorrhagic fever
Abstract
Dextran 40 is a low molecular weight dextran preparation which is used as an adjunctive treatment in hypovolemic shock. At present dextran 40 is mainly used in the clinical practice for management of severe cases of dengue haemorrhagic fever or dengue shock syndrome. Acute kidney injury is a rare adverse reaction of dextran administration. We report a case of dextran induced acute kidney injury complicated with hypertensive encephalopathy during the convalescent phase of the illness. Renal biopsy revealed fine isometric vacuolations of tubular epithelial cells suggestive of osmotic nephrosis.
DOI: https://doi.org/10.4038/jccp.v50i1.7866 | Journal eISSN: 2448-9514
Language: English
Page range: 41 - 43
Published on: Dec 4, 2019
Published by: Ceylon College of Physicians
In partnership with: Paradigm Publishing Services
© 2019 M. P. Priyacharana, M. H. S. Sumanadasa, P. D. K. Thiranagama, A. Marasinghe, N. L. A. Shyamali, published by Ceylon College of Physicians
This work is licensed under the Creative Commons Attribution 4.0 License.