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Death by dengue fever in a Brazilian child: a case report
BACKGROUND: Dengue is an important worldwide public health problem, and continues to spread in Brazil. This article presents the first Brazilian case report of the death of an indigenous child by dengue fever. CASE PRESENTATION: In August 2013, a child aged 2 years and from the Tremembé ethnic group...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255653/ https://www.ncbi.nlm.nih.gov/pubmed/25428248 http://dx.doi.org/10.1186/1756-0500-7-855 |
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author | Sacramento, Rafael Henrique Machado Braga, Deborah Nunes de Melo Sacramento, Franciane Fardin Araújo, Fernanda Montenegro de Carvalho Lima, Antônio Afonso Bezerra Pompeu, Margarida Maria de Lima Lima, Danielle Malta Cavalcanti, Luciano Pamplona de Góes |
author_facet | Sacramento, Rafael Henrique Machado Braga, Deborah Nunes de Melo Sacramento, Franciane Fardin Araújo, Fernanda Montenegro de Carvalho Lima, Antônio Afonso Bezerra Pompeu, Margarida Maria de Lima Lima, Danielle Malta Cavalcanti, Luciano Pamplona de Góes |
author_sort | Sacramento, Rafael Henrique Machado |
collection | PubMed |
description | BACKGROUND: Dengue is an important worldwide public health problem, and continues to spread in Brazil. This article presents the first Brazilian case report of the death of an indigenous child by dengue fever. CASE PRESENTATION: In August 2013, a child aged 2 years and from the Tremembé ethnic group, who was previously healthy with no complaints, suddenly presented intense crying, precordial pain, and general malaise. A few minutes after these non-specific symptoms, the patient started tonic–clonic convulsions and had cyanosis, a substantial increase in body temperature to the touch, cold sudoresis, sphincter relaxation, and unconsciousness. This situation remained for 15 minutes, progressing to respiratory insufficiency, with consequent absence of peripheral pulses. Death was confirmed approximately 40 minutes after the first symptoms. An autopsy was performed using the usual techniques. Immunohistochemistry was positive for dengue, and microscopic examination indicated micro perivascular edema and cerebral hemorrhage. CONCLUSION: Considering that the death occurred during the major endemic seasonal period for dengue fever, primary clinical evidence suggestive of viral infection presenting with sudden and quick death, and positive immunohistochemistry results, the case was closed as severe dengue fever. Clinicians must consider dengue as a diagnostic hypothesis among the indigenous population in Brazil. |
format | Online Article Text |
id | pubmed-4255653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42556532014-12-05 Death by dengue fever in a Brazilian child: a case report Sacramento, Rafael Henrique Machado Braga, Deborah Nunes de Melo Sacramento, Franciane Fardin Araújo, Fernanda Montenegro de Carvalho Lima, Antônio Afonso Bezerra Pompeu, Margarida Maria de Lima Lima, Danielle Malta Cavalcanti, Luciano Pamplona de Góes BMC Res Notes Case Report BACKGROUND: Dengue is an important worldwide public health problem, and continues to spread in Brazil. This article presents the first Brazilian case report of the death of an indigenous child by dengue fever. CASE PRESENTATION: In August 2013, a child aged 2 years and from the Tremembé ethnic group, who was previously healthy with no complaints, suddenly presented intense crying, precordial pain, and general malaise. A few minutes after these non-specific symptoms, the patient started tonic–clonic convulsions and had cyanosis, a substantial increase in body temperature to the touch, cold sudoresis, sphincter relaxation, and unconsciousness. This situation remained for 15 minutes, progressing to respiratory insufficiency, with consequent absence of peripheral pulses. Death was confirmed approximately 40 minutes after the first symptoms. An autopsy was performed using the usual techniques. Immunohistochemistry was positive for dengue, and microscopic examination indicated micro perivascular edema and cerebral hemorrhage. CONCLUSION: Considering that the death occurred during the major endemic seasonal period for dengue fever, primary clinical evidence suggestive of viral infection presenting with sudden and quick death, and positive immunohistochemistry results, the case was closed as severe dengue fever. Clinicians must consider dengue as a diagnostic hypothesis among the indigenous population in Brazil. BioMed Central 2014-11-27 /pmc/articles/PMC4255653/ /pubmed/25428248 http://dx.doi.org/10.1186/1756-0500-7-855 Text en © Sacramento et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Sacramento, Rafael Henrique Machado Braga, Deborah Nunes de Melo Sacramento, Franciane Fardin Araújo, Fernanda Montenegro de Carvalho Lima, Antônio Afonso Bezerra Pompeu, Margarida Maria de Lima Lima, Danielle Malta Cavalcanti, Luciano Pamplona de Góes Death by dengue fever in a Brazilian child: a case report |
title | Death by dengue fever in a Brazilian child: a case report |
title_full | Death by dengue fever in a Brazilian child: a case report |
title_fullStr | Death by dengue fever in a Brazilian child: a case report |
title_full_unstemmed | Death by dengue fever in a Brazilian child: a case report |
title_short | Death by dengue fever in a Brazilian child: a case report |
title_sort | death by dengue fever in a brazilian child: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255653/ https://www.ncbi.nlm.nih.gov/pubmed/25428248 http://dx.doi.org/10.1186/1756-0500-7-855 |
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