Viroj Wiwanitkit1,2,3,4,5. 1. Faculty of Science, Surindra Rajabhat University, Nok Mueang, Thailand. 2. Department of Tropical Medicine, Hainan Medical University, Haikou, China. 3. Department of Community Medicine, Dr DY Patil University, Pune, Maharashtra, India. 4. Faculty of Medicine, University of Niš, Niš, Serbia. 5. Department of Biological Science, Joseph Ayobabalola University, Nigeria.
Dear Editor,The publication on ‘Fluid resuscitation, laryngeal oedema and severe dengue’ is very interesting.[1] Saran and Azim reported a case and raised an interesting question ‘can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue?’[1] Indeed, good monitoring is required for fluid therapy for severe dengue since the complication of fluid overload is possible.[2] There is no doubt that the laryngeal oedema can be a complication due to resuscitation and orotracheal intubation.[3] Nevertheless, respiratory tract bleeding and oedema can be seen in severe dengue regardless of resuscitation.[24] In fatal dengue cases, respiratory organs are the main affected organs.[45] Close monitoring of airway, breathing and circulation in any patients with severe dengue regardless of fluid therapy is needed.