Produção Nacional
Revisado por pares
Death by dengue fever in a Brazilian child: a case report
2014; BioMed Central; Volume: 7; Issue: 1 Linguagem: Inglês
10.1186/1756-0500-7-855
ISSN1756-0500
AutoresRafael Henrique Machado Sacramento, Deborah Nunes de Melo Braga, Franciane Fardin Sacramento, Fernanda Montenegro de Carvalho Araújo, Antônio Afonso Bezerra Lima, Margarida Maria de Lima Pompeu, Danielle Malta Lima, Luciano Pamplona de Góes Cavalcanti,
Tópico(s)Malaria Research and Control
ResumoDengue is an important worldwide public health problem, and continues to spread in Brazil. This article presents the first Brazilian case report of the death of an indigenous child by dengue fever. In August 2013, a child aged 2 years and from the Tremembé ethnic group, who was previously healthy with no complaints, suddenly presented intense crying, precordial pain, and general malaise. A few minutes after these non-specific symptoms, the patient started tonic–clonic convulsions and had cyanosis, a substantial increase in body temperature to the touch, cold sudoresis, sphincter relaxation, and unconsciousness. This situation remained for 15 minutes, progressing to respiratory insufficiency, with consequent absence of peripheral pulses. Death was confirmed approximately 40 minutes after the first symptoms. An autopsy was performed using the usual techniques. Immunohistochemistry was positive for dengue, and microscopic examination indicated micro perivascular edema and cerebral hemorrhage. Considering that the death occurred during the major endemic seasonal period for dengue fever, primary clinical evidence suggestive of viral infection presenting with sudden and quick death, and positive immunohistochemistry results, the case was closed as severe dengue fever. Clinicians must consider dengue as a diagnostic hypothesis among the indigenous population in Brazil.
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