Jahan Yasmin, Rahman Atiqur
Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan.
Division Ageing and Social Change (ASC), ISV, Linköping University, Sweden.
IDCases. 2020 Jun 20;21:e00880. doi: 10.1016/j.idcr.2020.e00880. eCollection 2020.
Dengue is an important tropical infection caused by an . As a mosquito borne infection, this disease is widely spread in several tropical endemic countries and this implies the global importance of this infection. In this specific case report, the author discussed the case management of dengue hemorrhagic fever (DHF). A 42-year-old patient came to a secondary level hospital with complaints of diffuse abdominal pain (more in central region) continually for 3 days. Based on his clinical investigations the patient was diagnosed by DHF and managed with intravenously administered fluid resuscitation as he had a history of vomiting, close monitoring of vital status, and gave conservative treatment. Although, the plasma leakage had concerned the doctors about developing DSS. But after seeing his blood report, when the doctors found that the patient's platelet count was raised gradually and no other associated signs then they decided to give him discharge from the hospital. Prevention and control of dengue and DHF has become more urgent and the available vaccine is still limited. Hence, effective disease prevention programs, education of the medical community to ensure effective case management, community-based integrated mosquito control are necessary.
登革热是由一种……引起的重要热带感染病。作为一种蚊媒感染病，这种疾病在几个热带流行国家广泛传播，这意味着这种感染病具有全球重要性。在这份具体的病例报告中，作者讨论了登革出血热（DHF）的病例管理。一名42岁的患者因持续3天弥漫性腹痛（主要在中部区域）前来一家二级医院就诊。根据他的临床检查，该患者被诊断为登革出血热，并因其有呕吐史而接受了静脉补液复苏治疗，密切监测生命体征，并给予保守治疗。尽管血浆渗漏让医生担心会发展为登革休克综合征（DSS）。但在查看他的血液报告后，当医生发现患者的血小板计数逐渐升高且没有其他相关症状时，他们决定让他出院。登革热和登革出血热的预防和控制变得更加紧迫，而现有的疫苗仍然有限。因此，有效的疾病预防计划、对医疗界进行教育以确保有效的病例管理、基于社区的综合蚊虫控制是必要的。
