Artigo Acesso aberto Produção Nacional Revisado por pares

Alterações hematológicas em pacientes com dengue

2009; Brazilian Society of Tropical Medicine; Volume: 42; Issue: 6 Linguagem: Inglês

10.1590/s0037-86822009000600014

ISSN

1678-9849

Autores

Éveny Cristine Luna de Oliveira, Elenir Rose Jardim Cury Pontes, Rivaldo Venâncio da Cunha, Íris Bucker Fróes, Delso do Nascimento,

Tópico(s)

Vector-borne infectious diseases

Resumo

Dengue is a neglected disease with high morbidity and mortality among children and adults that occurs mainly in tropical and subtropical regions. The objective of this study was to evaluate hematological changes in patients with clinical manifestations of dengue. Medical records relating to 543 cases of dengue virus 3 that occurred during the 2007 epidemic in Campo Grande, Mato Grosso do Sul, were studied. Cases of classic dengue predominated (90.2%), with mild clinical manifestations lacking complications. The main hematological findings were leukopenia (68.3%), thrombocytopenia (66.5%), lymphocytopenia (67.2%) and atypical lymphocytes (67%). In dengue hemorrhagic fever, thrombocytopenia was more prolonged and the number of atypical lymphocytes was higher, while the other hematological abnormalities presented daily evolution similar to those in classic dengue. The hematological changes observed in dengue present according to the clinical course of the disease and its severity.

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