Olszyńska-Krowicka Maria
Warszawski Uniwersytet Medyczny, Klinika Chorób Odzwierzecych i Tropikalnych SP ZOZ Wojewódzki Szpital Zakaźny w Warszawie.
Przegl Epidemiol. 2011;65(4):567-9.
Dengue virus is distributed in tropical and subtropical regions and transmitted by mosquitoes of the genus Aedes. In September 2010 two cases of indigenous dengue fever were diagnosed in metropolitan France for the first time and next DENV infection was diagnosed in a German traveler returning from a trip to Croatia. The Aedes albopictus mosquitoes were found in several European countries (for example in greenhouses in Netherlands). The indigenous DENV infections in Europe are rare diseases, probably acquired after bites of infected mosquitoes imported by airplanes from endemic areas. Nonspecific symptoms including: fever (up to 39 degrees C), chills, arthralagia, headache, myalgia and abnormalities in laboratory tests such as: thrombocytopaenia, leukopaenia and liver tests cause problems with differential diagnosis ofhematologic and hepatologic syndromes. The most serious complications are associated with dengue shock syndrome with mortality rate of 50%.
登革病毒分布于热带和亚热带地区,由伊蚊属蚊子传播。2010年9月,法国本土首次确诊两例登革热病例,随后在一名从克罗地亚旅行归来的德国游客身上诊断出登革病毒感染。在几个欧洲国家发现了白纹伊蚊(例如在荷兰的温室中)。欧洲本土的登革病毒感染是罕见疾病,可能是在被飞机从流行地区运来的感染蚊子叮咬后感染的。非特异性症状包括:发热(高达39摄氏度)、寒战、关节痛、头痛、肌痛以及实验室检查异常,如:血小板减少、白细胞减少和肝功能检查异常,这些给血液学和肝脏综合征的鉴别诊断带来了问题。最严重的并发症与登革休克综合征有关,死亡率为50%。