title: [Hemorrhagic fever caused by dengue in 2 tourists].
abstract: Dengue haemorrhagic fever in two female tourists to Thailand (1990) and Indonesia (1989) respectively, is reported for the first time in the Netherlands. The main symptoms directly after return were high fever, haemorrhagic exanthema, thrombocytopenia and in one patient signs of haemoconcentration. Initially both patients were treated with antibiotics. They recovered after intravenous fluid therapy; one of them received a thrombocyte transfusion. Increasing travel to Asia and South America will result in more tourists returning with this potentially serious arboviral disease (dengue haemorrhagic shock).
authors.affiliation: Academisch Ziekenhuis, afd. Algemene Interne Geneeskunde, sectie Infectieziekten, Groningen.
authors.forename: J J
authors.initials: JJ
authors.lastname: Ligtenberg
authors.forename: G A
authors.initials: GA
authors.lastname: Hospers
authors.forename: H G
authors.initials: HG
authors.lastname: Sprenger
authors.forename: J
authors.initials: J
authors.lastname: Weits
mesh_terms: D000328:Adult; D016913:Blood Component Transfusion; D003715:Dengue / Q000175:diagnosis* / Q000628:therapy / Q000635:transmission; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007214:Indonesia; D009426:Netherlands / Q000208:ethnology; D013785:Thailand; D014195:Travel
vernacular_title: Hemorragische koorts door dengue bij twee toeristen.