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Pediatría de México

ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)
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2006, Number 2

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Pediatr Mex 2006; 9 (2)

Aspectos Clínico - Epidemiológicos de una serie de casos pediátricos con dengue en tercer nivel de atención

Camacho-Ramírez RI, Rodríguez-Alcocer M, Terán-Guerrero ME, Guerrero-López de Lara JA, Sánchez-Zapata MH, Avila-Reyes R
Full text How to cite this article

Language: Spanish
References: 9
Page: 5-9
PDF size: 145.01 Kb.


Key words:

Dengue, Dengue Fever, Dengue Hemorrhagic Fever.

ABSTRACT

Introduction: Dengue is an acute infectious disease of viral ethiology, transmitted by Aedes mosquito. The ethological agent is Dengue virus with four serotypes. The viral infection may produce an asymptomatic feature, undifferentiated fever, Classic Dengue fever (DC) or Dengue Shock Syndrome (SCHD)
The objective of this study is to find out the epidemiological and clinical characteristics of Dengue fever syndrome at the Hospital Infantil de Tamaulipas
Material and Methods: A descriptive, observational, cross-sectional study was performed in 715 patients that attended the outpatient clinic of Hospital Infantil de Tamaulipas with a clinical picture of Dengue. Information was gathered from the epidemiological report sheet and patient medical record in those who required hospitalization. Age, genre and clinical manifestations presented at the office visit, hematological tests and final evolution were obtained at the time of discharge.
Results: 122 patients were classified as Dengue Hemorrhagic Fever and 593 as Classic Dengue. The main findings were: fever and headache as most frequent signs and symptoms, the most affected age group was school age with no gender predominance. The most significant was diminished number of platelets in hemorrhagic cases. No deaths are reported in this series.
Discussion: We may conclude that Dengue is a high morbidity and low mortality disease in our series. However, communitarian actions are the measures that will help to lower the impact of Dengue.


REFERENCES

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  2. Wills B, Dung N, Loan H, Tam D, Thuy T, Minh L. Comparison of three fluid solutions for resuscitation in dengue shock syndrome. N Engl J Med 2005; 353:877-889.

  3. Norma Oficial Mexicana NOM-017-SSA2-1994, para la Vigilancia Epidemiológica,

  4. La Norma Oficial Mexicana NOM-032-SSA2-2002, para la Vigilancia Epidemiológica, Prevención y Control de Enfermedades Transmitidas por Vector y los lineamientos para el diagnóstico que actualmente establece el Instituto de Referencia y Diagnóstico Epidemiológicos (InDRE)

  5. Halstead S, Marrchette N. Biologic Properties of Dengue Viruses Following Serial Passage in Primary Dog Kidney Cells: Studies at the University Of Hawaii. Am J Trop Med Hyg. 2003; 69: 5-11.

  6. CDC. Imported dengue – United States, 1995. MMWR 1996; 45: 988-91.

  7. Martínez E. Dengue y Dengue Hemorrágico: Aspectos Clínicos Salud Pub Mex 1995; 37 Suppl: 29-44.

  8. Zárate M, Del Río A, Gómez H. El Diagnostico Del Dengue en México: Actualidades y Perspectives. Salud Pub Mex l995; 35 Suppl: 21-28.

  9. Fuginami R, Viral Pathogenesis. N Engl J Med 1997, 337:285-286




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Pediatr Mex. 2006;9