[Dengue outbreak in Buenos Aires, Argentina, 2016: Clinical and hematological features in children].

2019 
: El dengue es la arbovirosis humana que mas morbimortalidad ocasiona mundialmente. Durante 2016, se registro, en la Ciudad de Buenos Aires, Argentina, la mayor epidemia de esta enfermedad. Objetivo: describir las caracteristicas clinicas y hematologicas en una poblacion pediatrica. Metodos: estudio de corte transversal que incluyo a pacientes atendidos del 18-1-16 al 15-4-16 en el Hospital de Ninos "Dr. Ricardo Gutierrez". Resultados: se registraron 156 casos, 82 confirmados por virologia; 130 (83 %), autoctonos. Las manifestaciones clinicas mas frecuentes fueron fiebre, cefalea y dolor retroocular. Las alteraciones del laboratorio significativas fueron leucopenia, plaquetopenia y aumento de transaminasas. Se internaron 35 pacientes (23 %), 25 (16 %) con signos de alarma. No se presento ningun caso de dengue grave. Conclusiones: el reconocimiento oportuno de los signos de alarma y el control hematologico resultan fundamentales para detectar a los ninos en riesgo y ofrecerles tratamiento de soporte en forma precoz. OBJECTIVE: To describe clinical and hematological features in children with confirmed dengue infection. METHODS: Cross sectional study that included children attended since January 18th to April 15th 2016 at Hospital de Ninos "Dr. Ricardo Gutierrez". RESULTS: among 156 registered cases, 82 confirmed cases by virology test; 130 (83 %) autochthonous cases. The most frequent clinical manifestations were fever, headache and retro-ocular pain. Laboratory abnormalities were leukopenia, thrombocytopenia and increased liver enzymes. Thirty-five children were hospitalized (23 %), 25 (16 %) with warning signs. In our study, no cases of severe dengue occurred. CONCLUSIONS: early recognition of warning signs and hematological monitoring is essential in order to detect patients at risk and offer them adequate early treatment.
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