Pulmonary hemorrhage in dengue: differential diagnosis with acute viral respiratory syndromes including COVID-19.

Autor: Aguiar LA; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Oliveira-Scussel ACM; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Menezes JC; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Idaló PB; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Freitas LÉG; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Zago LBR; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Oliveira CDCHB; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Tavares NC; Instituto René Rachou, Belo Horizonte, Minas Gerais, Brazil., Oliveira EJ; Instituto René Rachou, Belo Horizonte, Minas Gerais, Brazil., Silva MVD; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Teixeira LAS; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Revista do Instituto de Medicina Tropical de Sao Paulo [Rev Inst Med Trop Sao Paulo] 2022 Feb 14; Vol. 64, pp. e13. Date of Electronic Publication: 2022 Feb 14 (Print Publication: 2022).
DOI: 10.1590/S1678-9946202264013
Abstrakt: Clinical similarities among viral diseases become even more relevant considering the current scenario, especially in Brazil, where there is a high incidence of these diseases and overlapping seasonality. We report the case of a patient with acute clinical manifestations composed of predominant respiratory symptoms and alveolar hemorrhage in which three etiologies (dengue, influenza and COVID-19) were investigated concomitantly. Only the diagnosis of dengue was confirmed. Then, the patient's immunological profile in response to stimulation of mononuclear cells with dengue virus antigen was analyzed in an attempt to identify specific characteristics that could be associated with the clinical manifestation.
Databáze: MEDLINE