1/19. shock syndrome in primary dengue infections.During 1974, 114 patients with dengue hemorrhagic fever were studied at the Bankok Children's Hospital. Over 40% of the patients had dengue shock syndrome. Five fatal cases were included in the study. Primary dengue infections were identified by absent or low titered antibodies in acute sera and the sequential development of IgM antibodies followed by IgG antibodies during convalescence. Three patients, aged 4,8, and 12 years, had primary dengue infections with shock. Although no convalescent sera could be tested two other patients, aged 7 to 12 years, with fatal disease also appeared to have primary infections. At the time of shock patients with primary infections had subnormal concentrations of complement factor 3. The data show that in older children dengue shock syndrome associated with complement depression can occur during primary as well as secondary infections.- - - - - - - - - - ranking = 1keywords = shock syndrome, shock (Clic here for more details about this article) |
2/19. Dengue infection with unusual manifestations: a case report.Since 1978, there has been an increasing number of reported cases of dengue infection with unusual manifestations and most of them had dengue shock syndrome. We report here one patient who had dengue hemorrhagic fever grade II with liver failure and hepatic encephalopathy and very high elevation of liver enzymes. She made a complete recovery after conservative therapy. She is the fourth case of reported dengue hemorrhagic fever grade II who had unusual manifestation.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
3/19. A case report: intracranial haemorrhage in a patient with probable dengue fever.We present a rare case of a patient diagnosed with probable dengue fever sustaining an intracranial haemorrhage after a trivial motor vehicle accident. From the literature reviewed, it was noted that there have been no reports of dengue fever presenting with an intracranial haemorrhage, and the association is more common in patients diagnosed with dengue hemorrhagic fever and/or dengue shock syndrome.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
4/19. Virologic and serologic surveillance for dengue fever in Jeddah, saudi arabia, 1994-1999.Dengue fever infection was first documented in Jeddah, saudi arabia, by virus isolation of dengue type 2 virus in 1994 at the virology laboratory of Dr. Soliman Fakeeh Hospital. dengue virus surveillance was established after that time. Blood samples were collected from 985 patients (710 male patients and 275 female patients) with suspected cases of dengue from February 1994 to December 1999. dengue virus isolates were obtained in 207 patients (21%; 162 male patients and 45 female patients). Dengue type 2 was the predominant serotype (138 of 207 isolates, 66.7%), followed by dengue type 1 with (56 of 207 isolates, 27%) and dengue type 3 (13 of 207 isolates, 6.3%). The largest number of isolates (186 of 207 isolates, 90%) was in 1994, a year during which there was a dengue epidemic. In the next 5 years, 1995-1999, only 21 isolates (10%) were isolated. immunoglobulin m capture enzyme-linked immunosorbent assay was positive in 160 acute samples; 52 of them were from virus culture-positive cases and 108 (11%) from culture-negative cases. The total number of cases diagnosed by both methods was 315 (32%). The prevalence of dengue immunoglobulin g antibodies, as assessed on the basis of immunofluorescent assay, hemagglutination inhibition titers > or = 1/20, or both, in the acute samples was 314 (32%) of 985, indicating past flavivirus infection. Two patients died, one man with dengue hemorrhagic fever and one woman with dengue shock syndrome. Both fatal dengue cases were due to infection with type 2 virus. All other cases were simple dengue fever. To our knowledge, this is the first report confirming the circulation of 3 dengue serotypes in Jeddah.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
5/19. The first patient with locally acquired dengue fever in hong kong.This report is of the first locally acquired case of dengue fever. The diagnosis was made even in the absence of a history of travel outside hong kong. The patient was a 21-year-old man, who presented with high fever, leukopenia, thrombocytopenia, and elevated liver enzymes. His haematocrit revealed mild haemoconcentration but the albumin was normal throughout the course of the illness. His blood pressure remained low with no tachycardia or overt shock syndrome. The pyrexia subsided 4 days after admission to hospital and all haematological and biochemical abnormalities eventually normalised. The pathogenesis, diagnostic criteria of dengue haemorrhagic fever and dengue shock syndrome, and control of dengue infection are discussed.- - - - - - - - - - ranking = 0.93864206936284keywords = shock syndrome, shock (Clic here for more details about this article) |
6/19. Vertical transmission of dengue infection in Thai infants: two case reports.Dengue infection is hyperendemic in tropical countries especially in thailand. Most dengue infections occur during childhood but some adults may remain susceptible to infection. About 30 per cent of dengue infection are reported in patients > 15 years old. Some pregnant women may also be susceptible to dengue and if they experience dengue infection, they can transmit the dengue viruses to their babies. The authors report two babies who developed mild dengue illness, dengue hemorrhagic fever (DHF) grade II, beginning on their 6th day of life. Both of them had low grade fever, hepatomegaly and generalized petechial rash. The first baby had Hct ranging from 46 to 40 per cent with minimal right pleural effusion. The lowest platelet count was 19,000 cells/mm3. His mother had dengue shock syndrome with masssive post partum bleeding. The second baby had dengue 2 infection while his mother had dengue fever. His Hct had also risen from 52 per cent to 61 per cent with right pleural effusion. His lowest platelet count was 7,000 cells/mm3. Both mothers and their babies had a complete recovery although the first baby had prolonged thrombocytopenia for two months.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
7/19. Fatal dengue encephalitis.central nervous system involvement is not an uncommon manifestation of dengue virus infection, but encephalitis is a rare entity. We report the case of a 5-year-old girl with fever and convulsions. She developed coma and shock during the high fever stage without abnormal bleeding.Treatment was supportive and symptomatic. The shock was poorly controlled. High fever persisted for 7.5 days then she expired.cerebrospinal fluid (CSF) and blood dengue-IgM antibody showed dengue infection.- - - - - - - - - - ranking = 0.061357930637161keywords = shock (Clic here for more details about this article) |
8/19. First case of dengue virus infection in nepal.dengue virus transmitted by aedes mosquito is one of the important cause health problems in world. Dengue fever and more severe and often fatal forms namely dengue hemorrhagic fever and dengue shock syndrome are emerging health problems in many part of the globe. No cases of dengue virus infection have been reported from nepal till date and for the first time, we report a case of dengue fever from nepal.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
9/19. Dengue fever and dengue haemorrhagic fever--a diagnostic challenge.The number of cases of dengue fever in returning travellers is increasing worldwide. In australia, two mosquito vectors exist and the aedes aegypti mosquito has already been responsible for local transmission within queensland. For these reasons, general practitioners need to be able to recognise dengue fever and its complications: dengue haemorrhagic fever (DHF) and dengue shock syndrome. Infections can vary from severe to asymptomatic. The incubation period, duration of fevers, presence of rash and relative bradycardia can assist in the diagnosis of dengue. Dengue haemorrhagic fever is a severe form of dengue fever associated with plasma leakage and specific risk factors. The risk of DHF to most travellers previously infected with dengue is probably low. serology and reverse transcriptase polymerase chain reaction are useful tests for diagnosing infection, although both have limitations. Vaccine design is a promising strategy to prevent infection.- - - - - - - - - - ranking = 0.46932103468142keywords = shock syndrome, shock (Clic here for more details about this article) |
10/19. pericardial effusion in dengue haemorrhagic fever.Acute shock in severe dengue haemorrhagic fever (DHF) may occur concurrently with accumulation of fluid in serous body spaces such as pleural, peritoneal and pericardial cavities. echocardiography is a non-invasive diagnostic procedure which is sensitive to detect even a small quantity of pericardial effusion. The chest radiogram in two reported cases of DHF associated with severe shock revealed that almost half of the pleural cavity was filled with fluid. Although no signs of pericardial effusion could be determined on physical examination, ECG and radiological procedures, a small amount of fluid was clearly seen on echocardiogram.- - - - - - - - - - ranking = 0.061357930637161keywords = shock (Clic here for more details about this article) |
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