Del Carpio-Orantes L, Moreno-Aldama NP, Sánchez-Díaz JS

Language: Spanish
References: 11
Page: 147-152
PDF size: 183.41 Kb.

ABSTRACT

Background: With the arrival of chikungunya and Zika arboviruses, the clinical diagnosis between these and dengue becomes even more complicated as they share similarities in their clinical pictures.
Objective: To characterize the population affected and to integrate clinical triads with the most frequent signs and symptoms in this study population, in order to discern between one and other arbovirosis.
Material and Method: A descriptive and comparative study of cases of vectorborne arbovirosis presented in the Veracruz North delegation during 2016, classifying them according to the operational definitions of suspect cases of dengue, Zika and chikungunya.
Results: A total of 10,327 cases of arbovirosis were recorded, of which 5388 cases met the operational definition of non-serious dengue (52.2%), 3529 cases of Zika (34.1%) and 1410 cases of chikungunya (13.6%). The main symptoms and signs presented in cases of dengue were: fever, headache, arthralgia, rash and nausea/ vomiting; for Zika cases: exanthema, adenomegalias, headache, arthralgias and conjunctivitis; for the cases of chikungunya: rash, fever, arthralgia, headache and nausea/vomiting. Due to its high incidence, the main symptoms were grouped into triads that have particularities, the dengue triad was composed of fever, headache defiand arthralgias; the Zika triad by exanthema, adenomegalias and arthralgias; and that of Chikungunya by rash, fever and arthritis.
Conclusion: It was possible to characterize each case according to the definitions of a suspect case and triads were integrated with particularities that can be used as a clinical diagnostic aid.

REFERENCES

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