Clinical characteristics of patient admitted to Hospital "César Garayar García", Iquitos during the dengue epidemic, January-February 2011

Authors

  • Víctor Fiestas Solórzano Centro de Investigación de Enfermedades Tropicales “Maxime Kuczynski”- Instituto Nacional de Salud, Perú. Médico Infectólogo.
  • Moisés Sihuincha Maldonado Hospital de Apoyo de Iquitos “César Garayar García” - Región Loreto, Perú. Médico Infectólogo.
  • Fernando Donaires Toscano Centro de Investigación de Enfermedades Tropicales “Maxime Kuczynski”- Instituto Nacional de Salud, Perú. Médico Infectólogo.
  • Salomón Durand Velazco Centro de Investigación de Enfermedades Tropicales de la Marina de los EEUU (NAMRU-6), Perú. Médico Infectólogo.
  • María García M Centro de Investigación de Enfermedades Tropicales “Maxime Kuczynski”- Instituto Nacional de Salud, Perú. Tecnólogo Médico.
  • Enrique Mamani Laboratorio de Arbovirus – Instituto Nacional de Salud, Perú. Biólogo.
  • Juan Gómez de la Torre Pretell Universidad Nacional Mayor de San Marcos. Médico Patólogo Clínico y Residente del III año en la Especialidad de Medicina de Enfermedades.

DOI:

https://doi.org/10.17843/rpmesp.2011.281.459

Keywords:

Dengue Virus, Severe Dengue, Peru

Abstract

We conducted a clinical description of confirmed dengue cases admitted to the Hospital “ César Garayar García” in Iquitos from January 25 to February 5, 2011. According to current WHO classification, major warning signs leading to hospitalization were: abdominal pain (28/28) and persistent vomiting (15/28), the causes of severity were: hypotension (9 / 13), severe bleeding (6 / 13) and plasma extravasation with respiratory distress (4 / 13). The median patient age was 22 years, however, 8 / 13 patients classified as severe dengue were under 16 years. In conclusion, unlike previous epidemics, we found a high involvement of young people and severity in the clinical presentation predominating a high frequency of shock (hypotension) and vascular leakage, which could be related to the circulation of an emerging variant DENV-2 which is more virulent.

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Published

2011-03-31

Issue

Section

Research Articles

How to Cite

1.
Fiestas Solórzano V, Sihuincha Maldonado M, Donaires Toscano F, Durand Velazco S, García M M, Mamani E, et al. Clinical characteristics of patient admitted to Hospital "César Garayar García", Iquitos during the dengue epidemic, January-February 2011. Rev Peru Med Exp Salud Publica [Internet]. 2011 Mar. 31 [cited 2024 Jun. 21];28(1). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/459

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