Revista Peruana de Medicina Experimental y Salud Pública
Print version ISSN 1726-4634
FIESTAS SOLORZANO, Víctor et al. Clinical characteristics of patients admitted to hospital "Cesar Garayar García", Iquitos during the dengue epidemic, January-February 2011. Rev Peru Med Exp Salud Publica [online]. 2011, vol.28, n.1, pp.78-82. ISSN 1726-4634. http://dx.doi.org/10.1590/S1726-46342011000100012.
We conducted a clinical description of confirmed dengue cases admitted to the Hospital "César Garayar García" in Iquitos from January 25 to February 5, 2011. According to current WHO classification, major warning signs leading to hospitalization were: abdominal pain (28/28) and persistent vomiting (15/28), the causes of severity were: hypotension (9 / 13), severe bleeding (6 / 13) and plasma extravasation with respiratory distress (4 / 13). The median patient age was 22 years, however, 8 / 13 patients classified as severe dengue were under 16 years. In conclusion, unlike previous epidemics, we found a high involvement of young people and severity in the clinical presentation predominating a high frequency of shock (hypotension) and vascular leakage, which could be related to the circulation of an emerging variant DENV-2 which is more virulent.
Keywords : Dengue; Dengue Virus; Severe Dengue; Peru.