SciELO - Scientific Electronic Library Online

 
vol.11 issue2Mechanics and energy during treadmill walking in Healthy Uruguayan Adults: effect of BMI and age.Sexual and Reproductive Health Intervention in Incarcerated Women in Uruguay author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Related links

Share


Anales de la Facultad de Medicina

On-line version ISSN 2301-1254

Abstract

NAVAS CASTILLO, Jessenia Sabrina et al. Clinical characterization of dengue with warning signs and severe dengue in adults. Roosevelt Hospital, Guatemala. Anfamed [online]. 2024, vol.11, n.2, e203.  Epub Dec 01, 2024. ISSN 2301-1254.  https://doi.org/10.25184/anfamed2024v11n2a4.

Introduction:

Dengue is one of the most clinically and epidemiologically important arboviruses worldwide. In Guatemala, the highest number of cases in the last 10 years was recorded in 2023 and an increase of 135% in the number of cases compared to 2022.

Objective:

Clinical characterization of dengue with warning signs and severe dengue.

Methodology:

Retrospective cross-sectional descriptive study, included records of 206 patients with warning signs of dengue who attended the Adult Emergency of the Roosevelt Hospital in Guatemala, from September 26 to November 26, 2023.

Results:

The female sex predominated in 54,4% and the age group of 12-22 years in 51,0%. The main warning sign was bleeding in 63,6%. The major complications were liver disease in 9,2%, shock in 5,8% and neurological alterations in 2,9%. Regarding hematological parameters, thrombocytopenia predominated in 93,2%, leukopenia in 53,9% and lymphocytosis in 71,4%. The transaminases AST and ALT were elevated in 97,0% (96/99) and 91,0% (142/156), respectively. Coagulation times were prolonged in 55,9% (104/186) for TPT and in 22,6% (42/186) for TP. There was 78,7% positivity (148/188) for dengue. The 8,3% (17/206) of patients were referred to the critical area for classification of severe dengue.

Conclusion:

These data provide an improvement in the recognition and adequate clinical management of cases with warning signs and severe dengue, which can contribute to reducing the burden of morbidity and mortality from this disease in the country.

Keywords : Warning signs; severe dengue; clinical characterization; Guatemala.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )