A pregnant woman with acute cardiorespiratory failure: dengue myocarditis

Bich, Thuy Duong; Pham, Oanh Kieu Nguyet; Hai, Duong Ha Thi; Nguyen, Nguyet Minh; Nguyen, Van Hao; Wills, Bridget; Yacoub, Sophie

doi:10.1016/s0140-6736(15)60239-2

Cited by 13 publications

(5 citation statements)

References 5 publications

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“…Pregnant travellers: Pregnant women are at higher risk for severe disease, especially during the third trimester. 88,89 Two large epidemiological studies from Brazil indicate that symptomatic dengue during pregnancy is associated with an increased risk of preterm birth and fetal death though not with congenital malformations. 90,91 Perinatal transmission to infants is recognised.…”

Section: Sub-populations Of Travellersmentioning

confidence: 99%

Severe dengue in travellers: pathogenesis, risk and clinical management

Halstead

Wilder‐Smith

2019

Journal of Travel Medicine

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Rationale for review Dengue is a frequent cause of febrile illness among travellers and has overtaken malaria as the leading cause of febrile illness for those traveling to Southeast Asia. The purpose is to review the risk of dengue and severe dengue in travellers with a particular focus on the pathogenesis and clinical management of severe dengue. Risk, pathogenesis and clinical management The risk of travel-acquired dengue depends on destination, season and duration of travel and activities during travel. Seroconversion rates reported in travellers, therefore, vary between <1% and >20%. The most common life-threatening clinical response to dengue infection is the dengue vascular permeability syndrome, epidemiologically linked to secondary infection, but can also occur in primary infection. Tertiary and quaternary infections are usually associated with mild or no disease. Antibody-dependent enhancement, viral factors, age, host factors and clinical experience of the managing physician modulate the risk of progressing to severe dengue. The relative risk of severe dengue in secondary versus primary infection ranges from 2 to 7. The absolute risk of severe dengue in children in highly endemic areas is ~0.1% per year for primary infections and 0.4% for secondary infections. About 2–4% of secondary infections lead to severe dengue. Severe dengue and death are both relatively rare in general travellers but more frequently in those visiting friends and relatives. Clinical management of severe dengue depends on judicious use of fluid rehydration. Conclusions Although dengue is a frequent cause of travel illness, severe dengue and deaths are rare. Nevertheless, dengue infections can interrupt travel and lead to evacuation and major out-of-pocket costs. Dengue is more frequent than many other travel-related vaccine preventable diseases, such as hepatitis A, hepatitis B, rabies, Japanese encephalitis and yellow fever, indicating a need for a dengue vaccine for travellers.

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Section: Sub-populations Of Travellersmentioning

confidence: 99%

Severe dengue in travellers: pathogenesis, risk and clinical management

Halstead

Wilder‐Smith

2019

Journal of Travel Medicine

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“…Acute dyspnea during pregnancy should include the following differential diagnoses: AMI, pulmonary congestion in preexisting heart disease, PPCM, PTE, and myocarditis. 222 Orientation for differential diagnosis may be summarized by the following points: 382,383 During clinical evaluation, it is fundamental to determine hemodynamic profile. In patients classified as profile B (wet and warm), volume adjustment with diuretics and vasodilators, in the absence of hypotension and shock, should be considered sparingly, keeping the formal contraindication to the use of ACEI and ARB in mind and giving preference to the use of nitrates and hydralazine, in combined therapy, whenever possible.…”

Section: Acute Heart Failurementioning

confidence: 99%

Posicionamento da Sociedade Brasileira de Cardiologia para Gravidez e Planejamento Familiar na Mulher Portadora de Cardiopatia – 2020

Ávila¹,

Alexandre²,

Castro³

et al. 2020

Arquivos Brasileiros De Cardiologia

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“…Travelers with sickle cell disease are thought to be at increased risk of severe dengue [83]. Pregnant women are another group at high risk for severe disease, especially during the third trimester [84,85], and perinatal transmission to infants is recognized [86].…”

Section: Host Factors Relevant For Travelersmentioning

confidence: 99%

Risk of Dengue in Travelers: Implications for Dengue Vaccination

Wilder‐Smith

2018

Curr Infect Dis Rep

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Purpose of Review Dengue is found in tropics and subtropics that are considered to be popular travel destinations. We set out to review the burden of dengue on international travelers. Recent Findings GeoSentinel, a global network of travel medicine providers, has seen an increasing trend of dengue in returning travelers over the past decades. In Southeast Asia, annual proportionate morbidity increased from 50 dengue cases per 1000 illreturned travelers in non-epidemic years to an average of 159 cases per 1000 travelers during epidemic years. Dengue is the leading cause of fever in returning travelers, having overtaken malaria for travelers to Southeast Asia. Most dengue seroconversion studies in travelers report an attack rate of around 5% depending on duration of travel and destination. Summary Dengue vaccination would be justified for travelers. The first licensed dengue vaccine CYD-TDV is only recommended in seropositive individuals. This review considers preventive measures including how best to use the first licensed dengue vaccine CYD-TDV.

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A pregnant woman with acute cardiorespiratory failure: dengue myocarditis

Cited by 13 publications

References 5 publications

Severe dengue in travellers: pathogenesis, risk and clinical management

Severe dengue in travellers: pathogenesis, risk and clinical management

Posicionamento da Sociedade Brasileira de Cardiologia para Gravidez e Planejamento Familiar na Mulher Portadora de Cardiopatia – 2020

Risk of Dengue in Travelers: Implications for Dengue Vaccination

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