RESUMO
A study of the dengue outbreak occurred from January to November 1997 in Santiago de Cuba municipality was performed to characterize the clinical picture of the patients. The sample was taken from those patients presenting with clinical and epidemiological elements and positive IgM determination serological test. Seventy-seven patients were confirmed as having dengue virus 2 infection whose clinical-humoral characteristic was dengue fever predominantly present in school boys. The clinical picture was given by fever headache, retrorbitary pain, osteomioarticular pain as the most common symptom and by exanthema as a prevailing sign. Most of bleedings occurred on the 2nd day and the most frequent hemorrhagic manifestation was positive tourniquet test.
Assuntos
Dengue/diagnóstico , Dengue/epidemiologia , Surtos de Doenças , Adolescente , Criança , Pré-Escolar , Cuba/epidemiologia , Feminino , Humanos , Lactente , MasculinoRESUMO
We described the clinical and humoral development of a 7-years old boy who had hemorrhagic dengue in the dengue epidemic taken place in Santiago de Cuba in 1997. During this stage, dengue was serologically confirmed in 77 patients under 15 years of age but only one case was considered to be hemorrhagic dengue in spite of the fact that the patient had no history of this disease and that the virus had not been circulating in the country for over 15 years. The boy was under shock on the fourth day of the process, with hemoconcentration, pleural and ascitic effusions, thrombocytopenia and later a nosocomial sepsis, but he completely recovered in a period of 20 days.