研究动态
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6岁登革热继发淋巴组织细胞噬血细胞综合征病例报告。

[Síndrome hemofagocítico linfohistiocitario secundario a Dengue en una paciente de 6 años: reporte de caso].

发表日期:2023 Sep
作者: Raúl Alberto Montero-Vázquez, Andrea Valdes-Mosso, Claudia Marcela Mendez-Contreras
来源: CYTOKINE & GROWTH FACTOR REVIEWS

摘要:

登革热是一种由蚊子传播的传染病,在全球 100 多个国家流行。在登革热可引起的并发症中,噬血细胞性淋巴组织细胞增多症因其严重性和复杂的诊断而备受关注。在此,我们记录了一名先前健康的 6 岁女性患者的这种疾病病例,她的登革热感染非常严重,需要住院治疗。使用血管活性药物和利尿剂进行重症监护管理。短期后,病情又开始好转,出现发烧、全血细胞减少、肝炎和炎症反应症状。怀疑患有登革热相关噬血细胞性淋巴组织细胞增多症综合征,并接受静脉注射皮质类固醇治疗,为期 3 天,没有出现恶性肿瘤迹象,反应良好。医疗保健专业人员必须了解这种不新鲜的实体,以便在大多数情况下实现有效的诊断和治疗,但不仅如此,登革热病毒在热带和亚热带地区流行。知识共享 Reconocimiento-NoComercial 4.0 国际。
Dengue fever is a mosquito-borne infectious disease endemic in over 100 countries around the world. Among the complications that dengue can cause the Hemophagocytic Lymphohistiocytosis is one of great concern for its severity and complex diagnosis.Hereby we document a case of this disease expressed on a previously healthy 6-year-old female patient whose dengue infection was so severe that needed intensive care management with vasoactive drugs and diuretics. After a short period of wellness began newly with fever, pancytopenia, hepatitis, and inflammatory response symptoms.A Dengue associated Hemophagocytic Lymphohistiocytosis syndrome was suspected and treated with intravenous corticosteroids on a 3-day scheme at no signs of malignancy with excellent response. The health care professionals must know about this not novel entity in order to reach an efficient diagnosis and treatment mostly, but not only, those in tropical and sub-tropical regions of the word were dengue virus is endemic.Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.