1921
Volume 77, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

There has been no previously reported case series study regarding chest radiographic (CXR) presentations in dengue hemorrhagic fever (DHF) patients. We retrospectively studied 363 DHF patients from June to December 2002 in southern Taiwan, and a total of 468 CXRs were obtained and reviewed. More than 50% of these showed abnormalities after the 3rd day, with infiltration only and small pleural effusion as the major findings. Progressive changes during the first week and improvements during the second week were observed in these abnormal CXRs. The CXR presentation was also significantly correlated with laboratory findings (white blood cell count, platelet levels, activated partial thromboplastin time, and alanine aminotransferase and albumin levels), as well as the clinical course (renal insufficiency, liver function impairment, upper gastrointestinal bleeding, combination bacterial infection, and duration of admission) and outcome (mortality). The CXR may therefore be a modality for evaluating the clinical course of DHF and should be made during first week after the onset of illness.

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2007-08-01
2017-09-22
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References

  1. Wilder-Smith A, Schwartz E, 2005. Dengue in travelers. N Engl J Med 353 : 924–932.
  2. Kalayanarooj S, Vaughn DW, Nimmannitya S, Green S, Suntayakorn S, Kunentrasai N, Viramitrachai W, Ratanachueke S, Kiatpolpoj S, Innis BL, Rothman AL, Nisalak A, Ennus FA, 1997. Early clinical and laboratory indicators of acute dengue illness. J Infect Dis 176 : 313–321.
  3. Balmaseda A, Hammond SN, Perez L, Tellez Y, Saborio SI, Mercado JC, Cuadra R, Rocha J, Perez MA, Silva S, Rocha C, Harris E, 2006. Serotype-specific differences in clinical manifestations of dengue. Am J Trop Med Hyg 74 : 449–456.
  4. Henchal EA, Putnak JR, 1990. The dengue viruses. Clin Microbiol Rev 3 : 376–396.
  5. Gubler DJ, 1998. Dengue and dengue hemorrhagic fever. Clin Microbiol Rev 11 : 480–496.
  6. Sharp TW, Wallace MR, Hayes CG, Sanchez JL, DeFraites RF, Arthur RR, Thornton SA, Batchelor RA, Rozmajzi PJ, Hanson RK, Wu SJ, Iriye C, Burans JP, 1995. Dengue fever in U.S. troops during Operation Restore Hope, Somalia, 1992–1993. Am J Trop Med Hyg 53 : 89–94.
  7. Rigau-Perez JG, Ayala-Lopez A, Garcia-Rivera EJ, Hudson SM, Vorndam V, Reiter P, Cano MP, Clark GG, 2002. The reappearance of dengue-3 and a subsequent dengue-4 and dengue-1 epidemic in Puerto Rico in 1998. Am J Trop Med Hyg 67 : 355–362.
  8. Schwartz E, Mendelson E, Sidi Y, 1996. Dengue fever among travelers. Am J Med 101 : 516–520.
  9. Gibbons RV, Vaughn DW, 2002. Dengue: an escalating problem. BMJ 324 : 1563–1566.
  10. Wu KL, Changchien CS, Kuo CM, Lu SN, Eng HL, Kuo CH, 2003. Dengue fever with acute acalculous cholecystitis. Am J Trop Med Hyg 68 : 657–660.
  11. Liam CK, Yap BH, Lam SK, 1993. Dengue fever complicated by pulmonary haemorrhage manifesting as haemoptysis. J Trop Med Hyg 96 : 197–200.
  12. Sen MK, Ojha UC, Chakrabarti S, Suri JC, 1999. Dengue hemorrhagic fever (DHF) presenting with ARDS. Indian J Chest Dis Allied Sci 41 : 115–119.
  13. Thulkar S, Sharma S, Srivastava DN, Sharma SK, Berry M, Pandey RM, 2000. Sonographic findings in grade III dengue hemorrhagic fever in adults. J Clin Ultrasound 28 : 34–37.
  14. Kabra SK, Jain Y, Singhal T, Ratageri VH, 1999. Dengue hemorrhagic fever: clinical manifestations and management. Indian J Pediatr 66 : 93–101.
  15. Cam BV, Tuan DT, Fonsmark L, Poulsen A, Tien NM, Tuan HM, Heegaard ED, 2002. Randomized comparison of oxygen mask treatment vs. nasal continuous positive airway pressure in dengue shock syndrome with acute respiratory failure. J Trop Pediatr 48 : 335–339.
  16. Porter KR, Beckett CG, Kosasih H, Tan RI, Alisjahbana B, Rudman PI, Widjaja S, Listiyaningsih E, Ma’Roef CN, McArdle JL, Parwati I, Sudjana P, Jusuf H, Yuwono D, Wuryadi S, 2005. Epidemiology of dengue and dengue hemorrhagic fever in a cohort of adults living in Bandung, West Java, Indonesia. Am J Trop Med Hyg 72 : 60–66.
  17. Siqueira JB, Martelli CM, Maciel IJ, Oliveira RM, Ribeiro MG, Amorim FP, Moreira BC, Cardoso DD, Souza WV, Andrade AL, 2004. Household survey of dengue infection in central Brazil: spatial point pattern analysis and risk factors assessment. Am J Trop Med Hyg 71 : 646–651.
  18. Nisalak A, Endy TP, Nimmannitya S, Kalayanarooj S, Thisayakorn U, Scott RM, Burke DS, Hoke CH, Innis BL, Vaughn DW, 2003. Serotype-specific dengue virus circulation and dengue disease in Bangkok, Thailand from 1973 to 1999. Am J Trop Med Hyg 68 : 191–202.
  19. Liu JW, Khor BS, Lee CH, 2003. Dengue hemorrhagic fever in Taiwan. Dengue Bull 27 : 19–23.
  20. Liu HW, Ho TL, Hwang CS, Liao YH, 1989. Clinical observations of virologically confirmed dengue fever in the 1987 outbreak in southern Taiwan. Kaohsiung J Med Sci 5 : 42–49.
  21. Centers for Disease Control, Republic of China (Taiwan), 2004. Bulletin: Statistics of Communicable Diseases and Surveillance Report in Taiwan Area, 2002. Taiwan: Department of Health, The Executive Tuan. Available at: http://www.cdc.gov.tw.
  22. WHO, 1997. Dengue Hemorrhagic Fever: Diagnosis, Treatment, and Control. Geneva: World Health Organization.
  23. Light RW, Macgregor MI, Luchsinger PC, Ball WC Jr, 1972. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 77 : 507–513.
  24. Sahn SA, 1988. State of the art. The pleura. Am Rev Respir Dis 138 : 184–234.
  25. Nguyen TH, Nguyen TL, Lei HY, Lin YS, Le BL, Huang KJ, Lin CF, Do QH, Vu TQ, Lam TM, Yeh TM, Huang JH, Liu CC, Halstead SB, 2006. Volume replacement in infants with dengue hemorrhagic fever/dengue shock syndrome. Am J Trop Med Hyg 74 : 684–691.
  26. Wu KL, Changchien CS, Kuo CH, Chiu KW, Lu SN, Kuo CM, Chiu YC, Chou YP, Chuah SK, 2004. Early abdominal sonographic findings in patients with dengue fever. J Clin Ultrasound 32 : 386–388.
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  • Received : 25 Jul 2006
  • Accepted : 18 Apr 2007

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