Universidade Federal de Alagoas, Faculdade de Medicina, Arapiraca, Alagoas, Brazil.
Secretaria Estadual de Saúde do Distrito Federal, Brasília, Distrito Federal, Brazil.
Rev Inst Med Trop Sao Paulo. 2020 Dec 18;62:e101. doi: 10.1590/S1678-9946202062101. eCollection 2020.
Dengue is a viral disease, caused by an arbovirus of the genus Flavivirus. In Brazil, its incidence rate is high with a broad clinical spectrum. This report discusses a rare case of dengue associated with cutaneous leukocytoclastic vasculitis and pericardial effusion with eminence of cardiac tamponade in a previously healthy patient with no comorbidities. The serology for dengue was positive and the histopathological analysis of the cutaneous lesions confirmed the diagnosis of leukocytoclastic vasculitis. After receiving treatment, the patient's condition greatly improved.
登革热是一种由黄病毒属的虫媒病毒引起的病毒性疾病。在巴西，其发病率很高，且临床表现谱广泛。本报告讨论了一例罕见的登革热病例，该病例合并皮肤白细胞碎裂性血管炎和心包积液，在先前健康且无合并症的患者中出现明显的心包填塞。登革热血清学检测呈阳性，皮肤病变的组织病理学分析证实了白细胞碎裂性血管炎的诊断。经过治疗，患者病情明显好转。
