一名患有旅行输入性登革出血热的15岁男童

Q4 Medicine

Pediatria Polska Pub Date : 2022-01-01 DOI:10.5114/polp.2022.114704

Anna Tomasik, M. Pokorska-Śpiewak, B. Kowalik-Mikołajewska, M. Marczyńska

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引用次数: 0

摘要

登革热是一种由蚊子传播的病毒性疾病，在热带和亚热带地区流行率很高。我们报告一例旅行输入的登革热出血热在一个15岁的波兰男孩。病人表现为发烧、头痛和肌肉疼痛。他最初被诊断为流感。患者逐渐出现皮疹、轻度肝脾肿大、间歇性牙龈出血、手掌肿胀等轻度血浆漏出症状。实验室结果显示白细胞减少和血小板减少伴红细胞压积增加。同时检测NS1、IgM和IgG抗体，证实登革热病毒感染。患者在危重期接受经验性治疗，结果满意。症状消退，血小板和白细胞水平逐渐恢复到正常范围。

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A 15-year-old boy with travel-imported dengue haemorrhagic fever

Dengue is a viral, mosquito-spread disease with a high prevalence in tropical and subtropical areas. We report a case of travel-imported dengue haemorrhagic fever in a 15-year-old Polish boy. The patient presented with fever, headache, and muscle pain. He was initially diagnosed with influenza. He gradually developed skin rash, mild hepatosplenomegaly, episodic gingival bleeding, and mild symptoms of plasma leakage in the form of palms swelling. The laboratory results revealed leukopaenia and thrombocytopaenia with increasing haematocrit. Dengue virus infection was confirmed by simultaneous detection of NS1, IgM, and IgG antibodies. The patient was treated empirically in the critical phase with satisfactory outcome. The symptoms subsided and the platelet and leukocyte levels gradually reached the normal range for his age.

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来源期刊

Pediatria Polska Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Pediatria Polska - rzetelna wiedza i tradycja. Organ Polskiego Towarzystwa Pediatrycznego. Ukazuje się od 1921 roku, poprzednio w latach 1908-1920 jako Przegląd Pedyatryczny. Drugie obok Otolaryngologii Polskiej najstarsze czasopismo medyczne ukazujące się na polskim rynku. Czasopismo zamieszcza doświadczalne i kliniczne prace oryginalne oraz opisy rzadko występujących i trudnych diagnostycznie przypadków klinicznych. W Pediatrii Polskiej publikowane są także obszerne omówienia poglądowe problemów pediatrycznych oparte na najnowszym piśmiennictwie światowym.