Clinical Profile of Atypical Manifestations of Dengue Fever: Correspondence
Autor: | Viroj Wiwanitkit, Beuy Joob |
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Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Atypical manifestations business.industry 030106 microbiology Rare entity medicine.disease Medical disorder Virology Dermatology Severe dengue Atypical lymphocytosis Dengue fever 03 medical and health sciences Pediatrics Perinatology and Child Health medicine Decreased platelets Presentation (obstetrics) business |
Zdroj: | The Indian Journal of Pediatrics. 83:1210-1210 |
ISSN: | 0973-7693 0019-5456 |
DOI: | 10.1007/s12098-016-2074-6 |
Popis: | To the Editor: The recent report on atypical dengue by Pothapregada et al. is very interesting [1]. Pothapregada et al. concluded that Bthe atypical manifestations of dengue fever are no more a rare entity [1]^ and Bimpaired consciousness is the most ominous atypical manifestation of severe dengue infection [1]^. We would like to share experience and idea on this topic. First, dengue can have a wide clinical spectrum including atypical presentation [2]. Not only bleeding presentations, but also other non-bleeding presentations can be seen [3]. Nevertheless, the classical finding of decreased platelets and atypical lymphocytosis is still the hallmark laboratory presentation [2]. It should also be noted that a usually forgotten presentation is afebr i le i l lness , which has not been included by Pothapregada et al. in their retrospective review of hospitalized cases. In our experience, up to 44 % of dengue cases diagnosed in OPD have no fever [4]. Finally, it should also be noted that concurrent infection or medical disorder with dengue is possible and this might be the cause of atypical presentation observed in dengue patients [2]. |
Databáze: | OpenAIRE |
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