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登革热休克综合征中的肝炎

Hepatitis in dengue shock syndrome.

作者信息

de Souza Luiz José, Gonçalves Carneiro Helder, Souto Filho João Tadeu Damian, Ferreira de Souza Thiago, Azevedo Côrtes Vitor, Neto Carlos Gicovate, Bastos Diogo Assed, da Silva Siqueira Edno Wallace

机构信息

Campos Faculty of Medicine, Lílian Neves Clinic, Reference Center for Dengue, Hospital dos Plantadores de Cana, Campos dos Goytacazes, RJ, Brazil.

出版信息

Braz J Infect Dis. 2002 Dec;6(6):322-7. doi: 10.1590/s1413-86702002000600010.

Abstract

Dengue fever is the most frequent arbovirus disease in the world and the most important one in terms of morbidity and mortality. Atypical manifestations of dengue have become commonplace during the last few years, including hepatic damage, which manifests mainly by pain in the right hypochondrium and an increase in the levels of aminotransferases. We describe a case of acute hepatitis in a patient with Dengue Shock Syndrome Grade III. We analyzed the clinical and laboratory aspects of this atypical complication of dengue as well as the differential diagnoses.

摘要

登革热是世界上最常见的虫媒病毒疾病,也是发病率和死亡率方面最重要的一种。在过去几年中,登革热的非典型表现已变得很常见,包括肝损伤,其主要表现为右季肋部疼痛和转氨酶水平升高。我们描述了一例III级登革热休克综合征患者的急性肝炎病例。我们分析了这种登革热非典型并发症的临床和实验室方面以及鉴别诊断。

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