title: Dengue in Spanish travelers returning from the tropics.
abstract: Dengue is seldom recognized as an imported disease in Europe. A prospective clinical study was carried out in 37 travelers suspected to have dengue infection on their return from dengue-endemic areas. Anti-dengue antibodies were found in 24 of 37 patients (14 recent infections and 10 undetermined). The most common features among the recent infections were fever (100%), thrombocytopenia (61.5%), abnormal liver function tests (61.5%), and rash (53.8%). In one case, denguehemorrhagic fever grade III was confirmed and later followed by depression and suicide of the patient. The possibility of local transmission of dengue in Spain is discussed.
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: López-Vélez
authors.forename: C
authors.initials: C
authors.lastname: Pérez-Casas
authors.forename: A V
authors.initials: AV
authors.lastname: Vorndam
authors.forename: J
authors.initials: J
authors.lastname: Rigau
mesh_terms: D000328:Adult; D000368:Aged; D000914:Antibodies, Viral / Q000032:analysis; D003715:Dengue / Q000175:diagnosis / Q000453:epidemiology* / Q000635:transmission; D018562:Disease Transmission, Infectious; D005260:Female; D006801:Humans; D008297:Male; D016036:Seroepidemiologic Studies; D013030:Spain / Q000453:epidemiology; D014195:Travel; D014329:Tropical Climate
chemical_list: D000914:Antibodies, Viral