[Emergence of dengue hemorrhagic fever in French Antilles. 3 initial fatal cases in Guadeloupe]. / Emergence de la dengue hémorragique aux antilles françaises. Trois premiers décès en Guadeloupe.
Presse Med
; 27(27): 1376-8, 1998 Sep 19.
Article
en Fr
| MEDLINE
| ID: mdl-9793052
ABSTRACT
BACKGROUND:
Two outbreaks of dengue hemorrhagic fever occurred in Guadeloupe (French West Indies) in successive epidemics in 1994 and 1995. The first outbreak was caused by DEN-2 virus and the second by DEN-1. CASE REPORTS Seven life-threatening infections (WHO grade 3/4) were identified. Three previously healthy adults (including two brothers) died. Autopsy reports (2 patients) disclosed hemorrhagic serous effusions, disseminated intravascular coagulation, and in one case a spontaneous spleen rupture.DISCUSSION:
Dengue fever is an emerging disease. Its severe hemorrhagic form tends to an uprising incidence and can no longer be considered a disease limited to children in Far-Eastern Asia. Fatalities may occur very suddenly and unexpectedly, even in optimal health care settings, in healthy adults living or travelling in endemic areas, notably the Caribbean.
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Banco de datos:
MEDLINE
Asunto principal:
Vigilancia de la Población
/
Brotes de Enfermedades
/
Dengue Grave
Tipo de estudio:
Prognostic_studies
/
Screening_studies
Límite:
Adult
/
Humans
/
Male
/
Middle aged
País como asunto:
Caribe
/
Guadalupe
Idioma:
Fr
Año:
1998
Tipo del documento:
Article