2024, Number 4
Clinical manifestations and laboratory findings in pediatric patients with presumptive diagnosis of dengue virus infection in a second level hospital in Irapuato: case series
Reyes BML, Contreras VLM, Rojas SMB, Aguilera SM, Olmos PMLE
Full text
10.35366/118315
Language: Spanish
References: 17
Page: 156-162
PDF size: 327.16 Kb.
ABSTRACT
Introduction: viral disease transmitted by mosquitoes of the genus Aedes, one of the most significant public health problems worldwide. Objective: to describe clinical and laboratory data in pediatric patients at HGZ/MF No. 2, Instituto Mexicano del Seguro Social (IMSS), Irapuato, Guanajuato, who met one of the operational definitions of dengue. Our next objective was to analyze the administrative process for compliance with the epidemiological surveillance (EV) established by the National Committee for Epidemiological Surveillance (CONAVE). Material and methods: descriptive, cross-sectional study in pediatric patients aged 3 to 17 years, clinically diagnosed with dengue, between October 1, 2023 and November 30, 2023. Results: 22 patients, 12 males (54.5%), and 10 (45.5%) females. Sixteen of the cases (72.7%) presented in the month of November. Alarm data; were continuous severe abdominal pain (81%), and persistent vomiting (68%). 18 patients were admitted with (DCSA) dengue with alarm signs (81.8%). 12 (54.5%) cases presented severe thrombocytopenia. Two patients presented pleural effusion (9%) and one of them was associated with ascites. 18 children (81.8%) presented increased liver enzymes. Two patients (9%) met the operational definition of severe dengue (GD). We confirmed 13 (59%) patients by RT-PCR (polymerase chain reaction), of which 8 (61.5%) were dengue non serious (DNV) serotype 3, and 5 positive (38.5%) without serotype report. One negative PCR of a patient who complied with the operational definition, however the RT-PCR was taken after day seven of evolution of the current illness, had positive serology for dengue (IgM). We had three samples rejected due to lack of compliance in the quality of these samples. During the hospital care process between the emergency department, nursing, pediatric hospitalization and laboratory, five samples were not sent. Conclusion: we had problems in the administrative process of the epidemiological surveillance, so we reflect on how to improve it. This is the first year in the history of our hospital (inaugurated in 1975) that we have this epidemiological situation of dengue. We reported one death.REFERENCES