ABSTRACT
A 26-year-old postpartum female presented with symptoms characteristic of dengue fever on the 16th day of puerperium. On the third day of the illness, the patient presented a clinical picture consistent with shock. Tests determined primary infection with dengue virus serotype 2. Cardiac tamponade was confirmed by echocardiography. This rare manifestation is described in a patient without any associated comorbidity.
Subject(s)
Cardiac Tamponade/diagnostic imaging , Cardiac Tamponade/virology , Severe Dengue/complications , Adult , Echocardiography , Female , Humans , Radiography, Thoracic , Reverse Transcriptase Polymerase Chain ReactionABSTRACT
Abstract A 26-year-old postpartum female presented with symptoms characteristic of dengue fever on the 16th day of puerperium. On the third day of the illness, the patient presented a clinical picture consistent with shock. Tests determined primary infection with dengue virus serotype 2. Cardiac tamponade was confirmed by echocardiography. This rare manifestation is described in a patient without any associated comorbidity.
Subject(s)
Humans , Female , Adult , Cardiac Tamponade/virology , Cardiac Tamponade/diagnostic imaging , Severe Dengue/complications , Echocardiography , Radiography, Thoracic , Reverse Transcriptase Polymerase Chain ReactionABSTRACT
Here, we present four patients with confirmed Chikungunya virus infection showing atypical neurologic manifestations and death. This case series includes patients ranging in age from five to 92 years, with or without comorbidities. This report is important, as very few cases in the literature reporting death due to atypical Chikungunya virus infection are available.
Subject(s)
Central Nervous System Viral Diseases/virology , Chikungunya Fever/diagnosis , Aged , Aged, 80 and over , Central Nervous System Viral Diseases/diagnosis , Child, Preschool , Fatal Outcome , Female , Humans , Male , Middle Aged , Severity of Illness IndexABSTRACT
Abstract Here, we present four patients with confirmed Chikungunya virus infection showing atypical neurologic manifestations and death. This case series includes patients ranging in age from five to 92 years, with or without comorbidities. This report is important, as very few cases in the literature reporting death due to atypical Chikungunya virus infection are available.
Subject(s)
Humans , Male , Female , Child, Preschool , Aged , Aged, 80 and over , Central Nervous System Viral Diseases/virology , Chikungunya Fever/diagnosis , Severity of Illness Index , Fatal Outcome , Central Nervous System Viral Diseases/diagnosis , Middle AgedABSTRACT
Relatam-se dois casos de pacientes que desenvolveram intensa reaçao inflamatória no local da picada por Crotalus durissus. Ambos queixavam-se de fortes dores musculares e urina de coloraçao vinhosa, sugerindo diagnóstico clínico de rabdomiólise; apresentavam ainda ptose palpebral bilateral e alteraçoes visuais. Os exames laboratoriais nao evidenciaram alteraçao da funçao renal. A terapêutica instituída foi o soro anti-crotálico e antibiotecoterapia, com boa evoluçao, havendo total remissao da sintomatologia.
