一名32天大的患者出现登革热。罕见病例报告。

Pub Date : 2024-04-01 Epub Date: 2023-10-26 DOI:10.5546/aap.2023-10144.eng
Carolina G Goldberg, Alejandra F López Alarcón, María L Salocha, María F Otero, Mairena Jiménez, Andrea Medina, Rubén de Sousa Serro
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引用次数: 0

摘要

登革热是一种由埃及伊蚊传播的病毒性疾病。在阿根廷,登革热是一种流行病;大多数病例是在炎热的月份报告的。截至2023年20日流行病学周(EW),阿根廷24个省中的18个省报告了106672例病例。2岁以下的儿童是面临风险的主要群体。识别体征和症状并识别风险因素对于管理严重程度较高的病例至关重要。在这里,我们描述了一例32天大的女性患者,她因无来源的发热综合征住院,对病毒性脑膜炎和败血症进行了鉴别诊断,并发展为白细胞增多症、血小板减少症、低蛋白血症并伴有皮疹和水肿。登革热的诊断是根据临床、流行病学和阳性IgM数据确定的。
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Dengue fever in a 32-day-old patient. A rare case report.

Dengue fever is a viral disease transmitted by the Aedes aegypti mosquitoes. In Argentina, dengue fever is an epidemic disease; most cases are reported during the hot months. Until epidemiological week (EW) 20/2023, 106 672 cases were reported across 18 of the 24 provinces of Argentina. Children younger than 2 years are among the main groups at risk. Recognizing signs and symptoms and identifying risk factors is fundamental for the management of cases at a higher risk of severity. Here we describe the case of a 32-day-old female patient who was hospitalized due to febrile syndrome without a source, who had a differential diagnosis of viral meningitis and sepsis and progressed to leukocytosis, thrombocytopenia, hypoalbuminemia in association with rash and edema. The diagnosis of dengue fever was established based on clinical, epidemiological, and positive IgM data.

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