2008
DOI: 10.1590/s0103-40142008000300004 View full text |Buy / Rent full text
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Eric Martínez Torres

Abstract: El dengue es hoy la más importante arbovirosis, por su gran carga de enfermedad e implicaciones sociales. El mosquito Aedes aegypti, su principal transmisor convive con el hombre en su hábitat domestico y peridoméstico. El cuadro clínico es de fiebre, cefalea, dolor retroocular, dolores corporales, exantema y mucho decaimiento. El enfermo puede empeorar súbitamente y presentar choque por dengue, con grandes hemorragias digestivas y elevada mortalidad. No existe droga antiviral, pero la muerte puede evitarse me… Show more

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“…It was also determined that 26 patients had platelet counts of ≥ 100 0000/mm 3 , no significant changes of arterial pressure and no severe haemorrhagic manifestations, and they were therefore classified as having mild dengue. Another 24 patients had thrombocytopenia (platelet levels of < 100 0000/mm 3 ) and arterial or postural hypotension, and had received parenteral hydration for at least 6 hr; these patients were classified as having severe dengue, matching previous criteria used for adults in South and Central America 17–19 …”
Section: Resultsmentioning
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“…It was also determined that 26 patients had platelet counts of ≥ 100 0000/mm 3 , no significant changes of arterial pressure and no severe haemorrhagic manifestations, and they were therefore classified as having mild dengue. Another 24 patients had thrombocytopenia (platelet levels of < 100 0000/mm 3 ) and arterial or postural hypotension, and had received parenteral hydration for at least 6 hr; these patients were classified as having severe dengue, matching previous criteria used for adults in South and Central America 17–19 …”
Section: Resultsmentioning
“…, 15 who studied a group of Nicaraguan patients with severe dengue, who had signs of shock that did not fit the DHF/DSS classification, and designated this disease category as dengue with signs associated with shock. Other studies support an alternative classification for severity of dengue in adults 17–19 …”
Section: Methodsmentioning
“… 3 , 4 It is currently the most important arbovirus in the world in terms of morbidity, mortality, and economic burden. 5 In South America, the disease became rare in the 1970s because of the eradication of the mosquito vector as a result of efforts to control yellow fever, another arbovirosis. 6 However, when the eradication program ended, Ae.…”
Section: Introductionmentioning
“…Com relação ao sintoma 'presença de vômitos', deveria ser considerado um sinal de alarme quando: os vômitos fossem persistentes com três ou mais episódios em uma hora ou houver cinco ou mais episódios em seis horas 18 . Assim, na análise dos dados, 57 indivíduos classificados como dengue clássica e como dengue com sinal de alarme, apresentaram vômitos como sinal de alarme registrado, contudo não evoluíram para gravidade.…”
Section: Discussionunclassified