[一名6岁患者继发于登革热的淋巴细胞吞噬综合征:病例报告]。

Raúl Alberto Montero-Vázquez, Andrea Valdes-Mosso, Claudia Marcela Mendez-Contreras
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引用次数: 0

摘要

背景:登革热是一种蚊子传播的传染病,在全球100多个国家流行。登革热可引起吞噬性淋巴组织细胞增多症的并发症之一是其严重性和复杂的诊断。病例报告:在此,我们记录了一例在一名先前健康的6岁女性患者身上表达的登革热病例,该患者的登革热感染非常严重,需要使用血管活性药物和利尿剂进行重症监护。在短暂的健康期后,新开始出现发烧、全血细胞减少、肝炎和炎症反应症状。结论:疑似登革热相关的吞噬血细胞性淋巴组织细胞增多症综合征,在没有恶性肿瘤迹象的情况下,静脉注射皮质类固醇进行为期3天的治疗,反应良好。卫生保健专业人员必须了解这个并不新鲜的实体,才能获得有效的诊断和治疗——大多数情况下,但不仅如此,热带和亚热带地区的登革热病毒是地方病。
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[Síndrome hemofagocítico linfohistiocitario secundario a Dengue en una paciente de 6 años: reporte de caso].

Background: Dengue fever is a mosquito-borne infectious disease endemic in over 100 countries around the world. Among the complications that dengue can cause the Hemophagocytic Lymphohistiocytosis is one of great concern for its severity and complex diagnosis.

Case report: Hereby we document a case of this disease expressed on a previously healthy 6-year-old female patient whose dengue infection was so severe that needed intensive care management with vasoactive drugs and diuretics. After a short period of wellness began newly with fever, pancytopenia, hepatitis, and inflammatory response symptoms.

Conclusions: A Dengue associated Hemophagocytic Lymphohistiocytosis syndrome was suspected and treated with intravenous corticosteroids on a 3-day scheme at no signs of malignancy with excellent response. The health care professionals must know about this not novel entity in order to reach an efficient diagnosis and treatment mostly, but not only, those in tropical and sub-tropical regions of the word were dengue virus is endemic.

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