Juan Diego Galindo Dávila , Derly Mileidy Gomez Sandoval , Iván José Ardila Gómez , Doris Martha Salgado García
{"title":"Ecografía en dengue: 10 hallazgos claves","authors":"Juan Diego Galindo Dávila , Derly Mileidy Gomez Sandoval , Iván José Ardila Gómez , Doris Martha Salgado García","doi":"10.1016/j.acci.2024.05.011","DOIUrl":null,"url":null,"abstract":"<div><div>Dengue virus infection is a public health problem, especially in tropical and subtropical countries like Colombia. Vascular leakage is the central component in the pathophysiology of severe dengue and can be assessed through ultrasound. As a non-invasive method, it can be used as a tool for both diagnosis and clinical stratification, providing timely management and avoiding complications. The aim of this review is to describe key ultrasonographic points in patients with dengue exhibiting warning signs and severe dengue, with a focus on the application of the Point-of-Care Ultrasound (POCUS) strategy. Among the most common findings reported in the literature for dengue patients are thickening of the vesicular wall, pleural effusion, ascites, and pericardial effusion. The integration of POCUS training into routine clinical practice for dengue has the potential to reduce both mortality rates and healthcare costs.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 404-412"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Colombiana de Cuidado Intensivo","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0122726224000430","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Dengue virus infection is a public health problem, especially in tropical and subtropical countries like Colombia. Vascular leakage is the central component in the pathophysiology of severe dengue and can be assessed through ultrasound. As a non-invasive method, it can be used as a tool for both diagnosis and clinical stratification, providing timely management and avoiding complications. The aim of this review is to describe key ultrasonographic points in patients with dengue exhibiting warning signs and severe dengue, with a focus on the application of the Point-of-Care Ultrasound (POCUS) strategy. Among the most common findings reported in the literature for dengue patients are thickening of the vesicular wall, pleural effusion, ascites, and pericardial effusion. The integration of POCUS training into routine clinical practice for dengue has the potential to reduce both mortality rates and healthcare costs.