Kusama Yoshiki, Ito Ken, Tajima Shigeru, Kutsuna Satoshi
Department of Pediatrics Fuji City General Hospital Shizuoka Japan.
Department of Pediatrics The Jikei University School of Medicine Tokyo Japan.
J Gen Fam Med. 2017 Jun 27;18(6):414-417. doi: 10.1002/jgf2.83. eCollection 2017 Dec.
We report a case of imported dengue hemorrhagic fever (DHF) in a 10-year-old Philippine boy. The patient was admitted to the hospital with a 4-day history of high fever, headache, and malaise, and a 2-day history of epistaxis and hematemesis. Symptoms deteriorated after admission, and the patient was subsequently diagnosed with DHF. DHF occurs more frequently among cases of reinfection than among cases of primary infection. Therefore, physicians should recognize the difference in the risk of developing DHF between patients in endemic and nonendemic areas.
我们报告一例10岁菲律宾男孩的输入性登革出血热（DHF）病例。该患者因高热、头痛和全身不适4天，鼻出血和呕血2天入院。入院后症状恶化，随后被诊断为登革出血热。登革出血热在再次感染病例中比在初次感染病例中更频繁发生。因此，医生应认识到流行地区和非流行地区患者发生登革出血热风险的差异。
