Luis A Espinoza-Venegas, Billey K Samame-Talledo, Lidia G Mauricio-Neyra, Luis Pampa-Espinoza, Fernando Munayco-Guillén, Rafael Pichardo-Rodríguez
{"title":"Dengue congénito como diagnóstico diferencial en neonatos con sospecha de sepsis neonatal: reporte de caso en una región endémica.","authors":"Luis A Espinoza-Venegas, Billey K Samame-Talledo, Lidia G Mauricio-Neyra, Luis Pampa-Espinoza, Fernando Munayco-Guillén, Rafael Pichardo-Rodríguez","doi":"10.24875/BMHIM.24000107","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A major dengue epidemic affected Peru in 2023, with more than 246,614 cases with 419 deaths and an approximate of 8,312 pregnant women affected, with risk of transmitting the virus to the fetus.</p><p><strong>Clinical case: </strong>The case of an 11-day-old newborn is reported, whose mother started dengue fever one day before delivery, who was admitted to the emergency room with a diagnosis of sepsis (fever, jaundice, alteration of sensorium) and a history of cesarean delivery due to acute fetal distress. RT-PCR for dengue serotype 2 was identified in both the mother and neonate, suspending antibiotics and starting controlled hydration therapy, with favorable evolution that allowed the 7 to be discharged from hospitalization.</p><p><strong>Conclusions: </strong>Congenital dengue should be suspected in any neonate whose mother presents dengue up to 10 days before delivery and who presents a clinical picture of sepsis, and we must monitor the neonate until the 12th day of life.</p>","PeriodicalId":9103,"journal":{"name":"Boletín médico del Hospital Infantil de México","volume":"82 5","pages":"314-318"},"PeriodicalIF":0.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Boletín médico del Hospital Infantil de México","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24875/BMHIM.24000107","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: A major dengue epidemic affected Peru in 2023, with more than 246,614 cases with 419 deaths and an approximate of 8,312 pregnant women affected, with risk of transmitting the virus to the fetus.
Clinical case: The case of an 11-day-old newborn is reported, whose mother started dengue fever one day before delivery, who was admitted to the emergency room with a diagnosis of sepsis (fever, jaundice, alteration of sensorium) and a history of cesarean delivery due to acute fetal distress. RT-PCR for dengue serotype 2 was identified in both the mother and neonate, suspending antibiotics and starting controlled hydration therapy, with favorable evolution that allowed the 7 to be discharged from hospitalization.
Conclusions: Congenital dengue should be suspected in any neonate whose mother presents dengue up to 10 days before delivery and who presents a clinical picture of sepsis, and we must monitor the neonate until the 12th day of life.
期刊介绍：
The Boletín Médico del Hospital Infantil de México is a bimonthly publication edited by the Hospital Infantil de México Federico Gómez. It receives unpublished manuscripts, in English or Spanish, relating to paediatrics in the following areas: biomedicine, clinical, public health, clinical epidemology, health education and clinical ethics. Articles can be original research articles, in-depth or systematic reviews, clinical cases, clinical-pathological cases, articles about public health, letters to the editor or editorials (by invitation).
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
