科特迪瓦阿比让的7例登革热本土病例。
Seven native cases of dengue in Abidjan, Ivory Coast.
作者信息
Aoussi E B F, Ehui E, Kassi N A, Kouakou G, Nouhou Y, Adjogoua E V, Eholié S, Bissagnéné E
机构信息
Service des maladies infectieuses et tropicales, CHU de Treichville, 01 BP V 3 Abidjan 01, Cote d'Ivoire.
Service des maladies infectieuses et tropicales, CHU de Treichville, 01 BP V 3 Abidjan 01, Cote d'Ivoire.
出版信息
Med Mal Infect. 2014 Sep;44(9):433-6. doi: 10.1016/j.medmal.2014.08.002. Epub 2014 Sep 16.
OBJECTIVE
We had for aim to describe the epidemiological, clinical, biological, and outcome features of dengue fever in Abidjan, in 2010.
PATIENTS AND METHODS
We retrospectively studied the files of patients hospitalized for dengue fever in 2010, in Abidjan. The diagnosis was made on clinical symptoms and positive dengue PCR and/or IgM.
RESULTS
Seven patients were included (5 men, 2 women, median age of 51years [31-65years]). They presented with a febrile pain syndrome (n=7), jaundice (n=3), rash (n=2), and hematemesis complicated by thrombocytopenia (n=6) and leukopenia (n=5). Three patients had a positive IgM serology and 4 had a positive dengue PCR for DENV-3. The outcome was favorable for 6 patients, and 1 patient died of severe hemorrhage.
CONCLUSION
The authors advocate the implementation of epidemiological surveillance of dengue and vector control in the Ivory Coast.
目的
我们旨在描述2010年阿比让登革热的流行病学、临床、生物学及转归特征。
患者与方法
我们回顾性研究了2010年在阿比让因登革热住院患者的病历。诊断基于临床症状以及登革热PCR和/或IgM检测阳性。
结果
纳入7例患者（5例男性，2例女性，中位年龄51岁[31 - 65岁]）。他们表现为发热性疼痛综合征（n = 7）、黄疸（n = 3）、皮疹（n = 2），以及并发血小板减少症（n = 6）和白细胞减少症（n = 5）的呕血。3例患者IgM血清学检测阳性，4例患者登革热病毒3型（DENV - 3）的PCR检测阳性。6例患者转归良好，1例患者死于严重出血。
结论
作者主张在科特迪瓦实施登革热流行病学监测及病媒控制。
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