N-acetylcystein in dengue hepatitis.

Sir,

The recent report on N-acetylcystein (NAC) in dengue hepatitis is very interesting.[1] Habaragamuwa and Dissanayaka they found that NAC resulted in a good outcome without hepatic transplantation.[1] In fact, hepatic dysfunction is an important, but forgotten complication of dengue.[2] The management of dengue hepatitis is usually supportive and symptomatic treatment. The use of NAC might be useful. However, it should be noted that dengue hepatitis can be self-limited.[34] To manage dengue hepatitis, with or without hepatic dysfunction, the critical concept is optimal fluid replacement therapy.[5]