Division of Internal Medicine and Infectious Diseases, Monte Sinai Hospital, Juiz de Fora, Minas Gerais, Brazil.
Am J Trop Med Hyg. 2012 Oct;87(4):741-2. doi: 10.4269/ajtmh.2012.11-0692. Epub 2012 Sep 4.
Dengue fever has been a major problem in hospital settings in Brazil for the past 15 years. The main concern has been the severe forms, i.e., dengue hemorrhagic fever and dengue shock syndrome. Hemorrhagic events of different degrees have also been a major concern. We report five cases of large vein thrombotic events associated with the acute phase of dengue fever, including a previously non-reported case of mesenteric vein thrombosis. Complications such as these could have been overlooked in the diagnosis of dengue fever, given that the major concern is the hemorrhagic event.
登革热在过去 15 年一直是巴西医院环境中的一个主要问题。主要关注的是严重形式,即登革出血热和登革休克综合征。不同程度的出血事件也一直是主要关注点。我们报告了五例与登革热急性期中的大静脉血栓形成事件相关的病例,包括一例以前未报告的肠系膜静脉血栓形成病例。鉴于主要关注点是出血事件,这些并发症在登革热的诊断中可能被忽视。