Acute liver failure is a rare but life-threatening complication of severe dengue infection. Besides standard medical treatment, high volume therapeutic plasma exchange (HV-TPE) is a potential management strategy used to reverse hepatic encephalopathy and coagulopathy. HV-TPE, moreover, improves patient survival from acute liver failure due to paracetamol overdose, viral-induced hepatitis, and Wilson disease. The use of HV-TPE in acute liver failure with dengue hemorrhagic fever has never been reported. We, hereby, report a successful treatment with HV-TPE in acute liver failure with dengue hemorrhagic fever.
Faculty of Medicine, Chulalongkorn University
"First case report of high volume therapeutic plasma exchange as a rescue therapy in dengue hemorrhagic fever with acute liver failure,"
Chulalongkorn Medical Journal: Vol. 65:
3, Article 11.
Available at: https://digital.car.chula.ac.th/clmjournal/vol65/iss3/11