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J Pediatr Infect Dis 2010; 05(04): 363-367
DOI: 10.3233/JPI-2010-0281
Georg Thieme Verlag KG Stuttgart – New York

Pleuropulmonary manifestations of dengue fever in children and adolescents

Diana Giraldo Rios
a   Department of Pulmonology, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Clemax Couto Sant'Anna
a   Department of Pulmonology, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Maria de Fátima B. Pombo March
a   Department of Pulmonology, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Thalita Fernandes Abreu
b   Department of Infectious Diseases, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Sidnei Ferreira
a   Department of Pulmonology, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Márcia Bomfim
c   Department of Emergence, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Ana Alice Ibiapina Parente
a   Department of Pulmonology, Martagão Gesteira Pediatric Institute of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
,
Morgan N. Jackson
d   Licensed Physician and Surgeon, Washington, DC, USA
› Author Affiliations
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Further Information

Publication History

31 July 2009

01 March 2010

Publication Date:
28 July 2015 (online)

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Abstract

From November 2007 to April 2008, 196 patients were admitted to the Short Stay Unit and/or Intensive Care Unit of the Instituto de Puericultura e Pediatria Martagão Gesteira with clinical presentations suggesting dengue fever. Included in this retrospective case series are 181 patients who had laboratory confirmation of dengue fever; 51.9% (94/181) had classical dengue fever and 48.1% (87/181) had dengue hemorrhagic fever. Patients ranged from 4 months to 15 years of age; the median age being 9 years (mean ± SD; 8.5 ± 3.6 years). There were 90 cases with pleuropulmonary manifestations: 30 of 94 cases with classical dengue fever and 60 of 87 cases with dengue hemorrhagic fever. In descending order, the changes found were pleural effusion, elevation of the diaphragm, and pleural opacity. Radiological manifestations appeared a median of 6 days after hospitalization (range, 3 to 11 days). In 89/90 (98.9%) cases with pleuropulmonary manifestations, early therapeutic approaches resulted in resolution of clinical and radiologic findings.

Keywords

Dengue fever - hemorrhagic - classical dengue fever - chest radiography - adolescents