Evaluation of sublingual microcirculation in children with dengue shock
A 9-year-old female presented with a history of fever, odynophagia and abdominal pain for 10 days. Dengue infection was diagnosed based on positive immunoglobulin M serology, and she was transferred to the pediatric intensive care unit with tachydyspnea, coma, and signs of shock during the critical phase (according to the WHO classification). The patient was intubated, mechanically ventilated, and delivered 35 ml/kg of Ringer's lactate and dobutamine because of a low cardiac index, as determined by transesophageal Doppler. Sublingual microcirculation was evaluated after an initial hemodynamic stabilization. The patient parameters and medications at the time of the analysis can be seen in ). The patient was considered without shock on the 4th day of admission.