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[输入性登革热:西班牙一种新出现的虫媒病毒病]

[Imported dengue: an emerging arbovirosis in Spain].

作者信息

Ramos Geldres T T, García López-Hortelano M, Baquero-Artigao F, Montero Vega D, López Quintana B, Mellado Peña M J

机构信息

Servicio de Pediatría Hospitalaria y Enfermedades Infecciosas y Tropicales Pediátricas, Hospital Universitario Infantil La Paz, Hospital Carlos III, Madrid, España.

Servicio de Pediatría Hospitalaria y Enfermedades Infecciosas y Tropicales Pediátricas, Hospital Universitario Infantil La Paz, Hospital Carlos III, Madrid, España.

出版信息

An Pediatr (Barc). 2015 Jan;82(1):e165-9. doi: 10.1016/j.anpedi.2014.04.012. Epub 2014 May 28.

Abstract

Dengue is caused by one of 4 serotypes of dengue virus. Only imported cases have been reported in Spain. The main clinical findings are fever and exanthema, although there may be severe forms, particularly in secondary infections. Five children with a primary, non severe dengue infection are presented. The diagnosis was based on clinical suspicion and epidemiological history, and confirmed by immunochromatography and ELISA tests. The outcome was favourable in all cases. It is important to consider this diagnosis in international travellers that present with fever within the 14 days of returning from an endemic area, in order to get an early diagnosis, adequate treatment and a good prognosis.

摘要

登革热由4种血清型登革病毒中的一种引起。西班牙仅报告过输入性病例。主要临床症状为发热和皮疹,不过也可能出现严重症状,尤其是在二次感染时。本文介绍了5例原发性非重症登革热感染儿童。诊断基于临床怀疑和流行病学史,并通过免疫层析法和酶联免疫吸附测定试验得以确诊。所有病例预后良好。对于从流行地区返回后14天内出现发热的国际旅行者,考虑这一诊断很重要,以便早期诊断、获得适当治疗并取得良好预后。

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