Department of Hematology and.
Mediterr J Hematol Infect Dis. 2011;3(1):e2011039. doi: 10.4084/MJHID.2011.039. Epub 2011 Sep 8.
Managing hematological disorders in a tropical country presents several unique diagnostic and management problems. Apart from the disease process, we need to be aware of infections that can exacerbate or mimic serious hematological problems. We present here a series of five patients with pre-existing hematological diseases who were infected by dengue virus. These cases highlight the need to keep a strong suspicion of common endemic diseases in tropical countries before considering extensive workup for the basic hematological disease. There was no mortality and all patients recovered without any significant impact on their pre-existing hematological condition inspite of their low baseline blood counts. There was no excessive bleeding, prolonged stay in the hospital or relapse of underlying hematological disease in these patients and the only major concern was the increased anxiety among both the patient and treating physician regarding the relapse/progression of pre-existing hematological disease.
在热带国家管理血液系统疾病会带来一些独特的诊断和管理问题。除了疾病本身，我们还需要警惕可能加重或模拟严重血液系统问题的感染。我们在此介绍五例患有血液系统疾病的患者，他们感染了登革热病毒。这些病例强调，在考虑对基础血液系统疾病进行广泛检查之前，需要对热带国家常见的地方性疾病保持高度怀疑。所有患者均未死亡，尽管其基础血细胞计数较低，但均未恢复，且未对其先前存在的血液系统状况产生任何重大影响。这些患者没有过度出血、住院时间延长或基础血液系统疾病复发，唯一令人担忧的是患者和治疗医生对先前存在的血液系统疾病复发/进展的过度担忧。
