Analysis of Clinical and Laboratory Alterations Related to Dengue Case Severity: Comparison between Serotypes 2 and 4 in Brazil Article Swipe
Nieli Rodrigues da Costa Faria
,
Víctor Fiestas Solórzano
,
Luíz José de Souza
,
Rita Maria Ribeiro Nogueira
,
Fernanda de Bruycker‐Nogueira
,
Thaís Chouin-Carneiro
,
Jaqueline Bastos Santos Simões
,
Monique da Rocha Queiroz Lima
,
Luzia Maria de Oliveira Pinto
,
Claire Fernandes Kubelka
,
Manoela Heringer
,
Elzinandes Leal de Azeredo
,
Flávia Barreto dos Santos
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.4269/ajtmh.16-0227
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.4269/ajtmh.16-0227
The increase in severe dengue (SD) cases has caused great impact on public health and has concerned authorities of countries where the disease is endemic and epidemics reach high proportions. The recognition of progression signs of this severe disease during the initial febrile phase can be difficult, since the symptoms are often indistinguishable from other febrile diseases. The aim of this study was to evaluate the clinical manifestations and laboratory findings in patients from two dengue outbreaks and their association with the disease. The study was conducted in patients ( n = 153) with signs and symptoms consistent with dengue occurred during two distinct epidemics, 2010 and 2013, in the city of Campos dos Goytacazes, Rio de Janeiro, Brazil. According to the 2009 World Health Organization criteria, patients were classified as dengue without warning signs ([DwoWS] 60.6%, 57/94), dengue with warning signs ([DwWS] 30.9%, 29/94), and SD (4.25%, 4/94). Patients with DwWS/SD presented lower platelet and leukocyte counts and higher transaminase levels when compared with the DwoWS ones. Interestingly, patients from the epidemic of 2010 caused by dengue virus 2 (DENV-2) had lower platelet counts than patients of the 2013 epidemic caused by DENV-4. Furthermore, plasma leakage, gastrointestinal bleeding, and pleural effusion, hallmarks for a more severe disease, were also more frequently observed in those cases. Although previous studies may have extensively reported the wide range of the clinical aspects of dengue, the characterization of DENV-4 is desirable considering the burden of the disease during epidemics, especially for the health units and hospitals performing patient's management.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4269/ajtmh.16-0227
- http://www.ajtmh.org/deliver/fulltext/14761645/97/1/tpmd160227.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.16-0227&mimeType=pdf&containerItemId=content/journals/14761645
- OA Status
- bronze
- Cited By
- 12
- References
- 64
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2606712719
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2606712719Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4269/ajtmh.16-0227Digital Object Identifier
- Title
-
Analysis of Clinical and Laboratory Alterations Related to Dengue Case Severity: Comparison between Serotypes 2 and 4 in BrazilWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-04-11Full publication date if available
- Authors
-
Nieli Rodrigues da Costa Faria, Víctor Fiestas Solórzano, Luíz José de Souza, Rita Maria Ribeiro Nogueira, Fernanda de Bruycker‐Nogueira, Thaís Chouin-Carneiro, Jaqueline Bastos Santos Simões, Monique da Rocha Queiroz Lima, Luzia Maria de Oliveira Pinto, Claire Fernandes Kubelka, Manoela Heringer, Elzinandes Leal de Azeredo, Flávia Barreto dos SantosList of authors in order
- Landing page
-
https://doi.org/10.4269/ajtmh.16-0227Publisher landing page
- PDF URL
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https://www.ajtmh.org/deliver/fulltext/14761645/97/1/tpmd160227.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.16-0227&mimeType=pdf&containerItemId=content/journals/14761645Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://www.ajtmh.org/deliver/fulltext/14761645/97/1/tpmd160227.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.16-0227&mimeType=pdf&containerItemId=content/journals/14761645Direct OA link when available
- Concepts
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Dengue fever, Medicine, Outbreak, Dengue virus, Serotype, Disease, Pleural effusion, Epidemiology, Internal medicine, Public health, Pediatrics, Immunology, Virology, PathologyTop concepts (fields/topics) attached by OpenAlex
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12Total citation count in OpenAlex
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2025: 1, 2024: 3, 2023: 1, 2022: 1, 2021: 2Per-year citation counts (last 5 years)
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64Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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