title: Heavy proteinuria following dengue hemorrhagic fever.
abstract: We report a case of nephrotic range proteinuria with 24-hour urine protein level of 335.7 mg/kg/day which developed following dengue hemorrhagic fever. Due to prolonged hypoalbuminemia from renal loss, right pleural effusion persisted and required pleuracentesis. The patient did not have classical nephrotic syndrome. The proteinuria improved without specific treatment. A renal biopsy was not performed due to self-resolution of the proteinuria and azotemia. Heavy proteinuria is not a typical characteristic of dengue virus infection, therefore the pathophysiology of this nephropathy has not been well described to date.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand. sakara4695@yahoo.com
authors.forename: Sakara
authors.initials: S
authors.lastname: Hutspardol
authors.forename: Olarn
authors.initials: O
authors.lastname: Prommalikit
authors.forename: Nuttaphol
authors.initials: N
authors.lastname: Upiya
authors.forename: Jintana
authors.initials: J
authors.lastname: Chataroopwijit
authors.forename: Khemika
authors.initials: K
authors.lastname: Khemakanok
authors.forename: Kesara
authors.initials: K
authors.lastname: Assadamongkol
mesh_terms: D000418:Albumins / Q000008:administration & dosage; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D019152:Paracentesis; D010996:Pleural Effusion / Q000628:therapy / Q000821:virology; D011507:Proteinuria / Q000209:etiology* / Q000628:therapy / Q000652:urine; D019595:Severe Dengue / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome
chemical_list: D000418:Albumins