年轻旅行者的发热性疾病：登革热及其并发症。
Febrile illness in a young traveler: dengue fever and its complications.
作者信息
Duber Herbert C, Kelly Stephen M
机构信息
Department of Emergency Medicine, Tufts University School of Medicine, Boston, Massachusetts; Department of Emergency Medicine, Baystate Medical Center, Springfield, Massachusetts; Division of Emergency Medicine, University of Washington School of Medicine, Seattle, Washington.
出版信息
J Emerg Med. 2013 Oct;45(4):526-9. doi: 10.1016/j.jemermed.2013.03.021. Epub 2013 May 30.
BACKGROUND
Dengue fever, a tropical disease once confined mostly to endemic areas in developing countries, is becoming more prevalent. Globalization has led to an increased incidence of the virus both in foreign travelers returning home and local outbreaks in traditionally nonendemic areas, such as the southern United States and southern Europe. Advances in diagnostic tests, therapies, and vaccines for dengue virus have been limited, but research is ongoing.
OBJECTIVES
To review the current literature regarding the diagnosis and management of dengue fever.
CASE REPORT
This case report describes a young woman returning from Central America with many of the common signs and symptoms who was misdiagnosed both abroad and at home. We explore the epidemiology, disease course, complications, and treatment of dengue fever.
CONCLUSION
Emergency physicians should consider dengue fever in patients with acute febrile illnesses, especially among those with recent travel.
背景
登革热是一种曾经主要局限于发展中国家流行地区的热带疾病，如今正变得越来越普遍。全球化导致该病毒在回国的外国旅行者以及传统非流行地区（如美国南部和欧洲南部）的本地暴发中发病率增加。登革热病毒诊断测试、治疗方法和疫苗的进展有限，但相关研究仍在进行中。
目的
综述当前关于登革热诊断和管理的文献。
病例报告
本病例报告描述了一名从中美洲返回的年轻女性，她出现了许多常见的体征和症状，在国外和国内均被误诊。我们探讨了登革热的流行病学、病程、并发症及治疗。
结论
急诊医生对于急性发热疾病患者，尤其是近期有旅行史的患者，应考虑到登革热。
Zotero 插件