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沙特阿拉伯吉达市一家三级护理医院急诊科的登革热与新冠病毒合并感染情况

Dengue Fever and COVID-19 Co-Infection at the Emergency Department of a Tertiary Care Hospital in Jeddah, Saudi Arabia.

作者信息

Khalil Abdalla, Badr Badr, Wright Harry, Talo Mohammed, Atteiya Mohammad

机构信息

International Medical Centre Hospital, Jeddah, Saudi Arabia.

King's College trust PRUH, London, UK.

出版信息

Eur J Case Rep Intern Med. 2020 Dec 28;7(12):002167. doi: 10.12890/2020_002167. eCollection 2020.

DOI:10.12890/2020_002167
PMID:33457380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7806309/
Abstract

INTRODUCTION

Co-infection with COVID-19 and other viral or bacterial infections has been described in many studies. Most cases of dengue fever in Saudi Arabia have been reported in Jeddah city and mainly during the summer season.

METHOD AND RESULTS

We describe four patients who presented to the emergency department with febrile illness accompanied by symptoms and blood tests suggestive of dengue fever. They also had radiological findings suggestive of COVID-19 chest infection and positive PCR tests. Three of the patients required hospital admission, and all had a good outcome.

CONCLUSION

In areas with a high rate of dengue fever, serological screening for dengue fever should be considered as part of COVID-19 investigation, especially if symptoms or a full blood count are suggestive.

LEARNING POINTS

Dengue fever (DF) and COVID-19 co-infection has been reported in countries with a high rate of DF.Symptoms and /or full blood count changes suggestive of DF should draw the attention for a DF screening while reviewing patients with suspected COVID-19 infection.

摘要

引言

许多研究都描述了新冠病毒与其他病毒或细菌的合并感染情况。沙特阿拉伯的大多数登革热病例都报告在吉达市,且主要发生在夏季。

方法与结果

我们描述了4例因发热性疾病前往急诊科就诊的患者,其症状和血液检查提示为登革热。他们还具有提示新冠病毒肺部感染的影像学表现以及PCR检测呈阳性。其中3例患者需要住院治疗,且所有患者预后良好。

结论

在登革热高发地区,应考虑将登革热血清学筛查作为新冠病毒调查的一部分,特别是当症状或全血细胞计数提示有登革热时。

经验教训

在登革热高发国家已报告了登革热与新冠病毒的合并感染情况。在对疑似新冠病毒感染患者进行评估时,提示登革热的症状和/或全血细胞计数变化应引起对登革热筛查的关注。

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