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

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 respi...

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Detalles Bibliográficos
Autores principales: Aguiar, Leonardo Antonio, Oliveira-Scussel, Ana Carolina de Morais, de Menezes, Jerônimo Coelho, Idaló, Priscila Barbosa, de Freitas, Lara Élida Guazzeli, Zago, Luzia Beatriz Ribeiro, de Oliveira, Cristina da Cunha Hueb Barata, Tavares, Naiara Clemente, de Oliveira, Edward José, da Silva, Marcos Vinícius, Teixeira, Luciana de Almeida Silva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical de São Paulo 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8845441/
https://www.ncbi.nlm.nih.gov/pubmed/35170714
http://dx.doi.org/10.1590/S1678-9946202264013
Descripción
Sumario: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.

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