Clinical profile of dengue hemorrhagic fever cases in Mexico
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| Format: | Artículo científico |
| Langue: | en |
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Instituto Nacional de Salud Pública
2005
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| _version_ | 1876475727162900480 |
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| author | Juan Germán Celis-Quintal |
| author_facet | Juan Germán Celis-Quintal |
| contents | Clinical profile of dengue hemorrhagic fever cases in Mexico Juan Germán Celis-Quintal Joel Navarrete-Espinosa Héctor Gómez-Dantés José Luis Vázquez-Martínez Salud dengue Mexico thrombocytopenia Objective. Dengue hemorrhagic fever is a public healthproblem in Mexico since 1994. With four serotypes circulatingthe risk of epidemic dengue hemorrhagic fever is increasing.Material and Methods. We describe the clinicalfeatures of confirmed cases in the social security health system(IMSS) from 1995 to 2003. Clinical picture and epidemiologicalfeatures were compared and a multivariate modelwas fitted to evaluate associations. Results. Cases weredivided into two groups: 438 patients with dengue fever,including 109 cases with hemorrhagic manifestations withoutthrombocytopenia, and 977 cases with dengue hemorrhagicfever, including 79 deaths. The main risk factorsassociated with mortality were hematemesis (RR 2.6; CI 95%1.4-4.6) and melena (RR 2.2; CI 95% 1.2-3.7). Conclusions.Our results characterize the clinical profile of dengue hemorrhagicfever cases in Mexico and identify prognostic factorsto alert clinician for the prevention of a fatal evolution. 2005 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10647301 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.47 |
| format | Artículo científico |
| id | redalyc_10647301 |
| institution | Redalyc |
| language | en |
| publishDate | 2005 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | Clinical profile of dengue hemorrhagic fever cases in Mexico Juan Germán Celis-Quintal Salud dengue Mexico thrombocytopenia Clinical profile of dengue hemorrhagic fever cases in Mexico Juan Germán Celis-Quintal Joel Navarrete-Espinosa Héctor Gómez-Dantés José Luis Vázquez-Martínez Salud dengue Mexico thrombocytopenia Objective. Dengue hemorrhagic fever is a public healthproblem in Mexico since 1994. With four serotypes circulatingthe risk of epidemic dengue hemorrhagic fever is increasing.Material and Methods. We describe the clinicalfeatures of confirmed cases in the social security health system(IMSS) from 1995 to 2003. Clinical picture and epidemiologicalfeatures were compared and a multivariate modelwas fitted to evaluate associations. Results. Cases weredivided into two groups: 438 patients with dengue fever,including 109 cases with hemorrhagic manifestations withoutthrombocytopenia, and 977 cases with dengue hemorrhagicfever, including 79 deaths. The main risk factorsassociated with mortality were hematemesis (RR 2.6; CI 95%1.4-4.6) and melena (RR 2.2; CI 95% 1.2-3.7). Conclusions.Our results characterize the clinical profile of dengue hemorrhagicfever cases in Mexico and identify prognostic factorsto alert clinician for the prevention of a fatal evolution. 2005 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10647301 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.47 |
| title | Clinical profile of dengue hemorrhagic fever cases in Mexico |
| topic | Salud dengue Mexico thrombocytopenia |
| url | https://www.redalyc.org/articulo.oa?id=10647301 |