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1.
West Indian med. j ; 46(2): 38-42, June 1997.
Artigo em Inglês | MedCarib | ID: med-2063

RESUMO

This is the first report of dengue haemorrhagic fever and dengue shock syndrome in Trinidad. Dengue infection was confirmed serologically or by viral isolation in five patients, aged 15 to 33 years, who presented with fever, thrombocytopenia and haemoconcentration. Three patients developed dengue shock syndrome, which was fatal; although there was no haemorrhagic tendency among these patients, bleeding occurred shortly before death in one of them. Two patients who had dengue haemorrhagic fever survived. The co-circulation of dengue virus serotypes 1, 2 and 4 in the Caribbean facilitates the development of dengue shock syndrome (DSS) or dengue haemorrhagic fever (DHF). Clinicans should therefore be aware of their clinical features, laboratory diagnosis and clinical management. Appropriate public health interventions and improved surveillance should be implemented to reduce the risk of DHS/DSS associated mortality in Trinidad and Tobago.(AU)


Assuntos
Adolescente , Adulto , Relatos de Casos , Feminino , Humanos , Pessoa de Meia-Idade , Masculino , Choque/epidemiologia , Dengue/epidemiologia , Dengue/complicações , Febres Hemorrágicas Virais/epidemiologia , Febres Hemorrágicas Virais/complicações , Surtos de Doenças , Evolução Fatal , Trinidad e Tobago/epidemiologia , Vírus da Dengue/isolamento & purificação
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