[Predictive factors of dengue shock syndrome at the children Hospital No. 1, Ho-chi-Minh City, Vietnam].
The dengue shock syndrome (DSS) is primarily a complication of dengue haemorrhagic fever (DHF) among children in South East Asia. A case-control study was carried out at the children hospital no 1 (Ho-Chi-Minh City, Vietnam) in May-July 2005, to identify the predictive factors of the DSS among 1-15 year patients with DHE Forty consecutive admitted cases and forty controls were studied. The associated features of DSS were the 7-12 year age group and the re-infection by the dengue virus. The vaccination against the Japanese encephalitis B was not associated statistically significantly with the shock syndrome. The clinical predictors of DSS gathered an abdominal tenderness, an hepatomegaly, a lethargy, a cold extremity presentation. DSS associated laboratory features were a value of hematocrit a 50 % and a platelet cell count < or = 75,000/mm3.
Pham
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EA 3677 et Centre Rene-Labusquiere (Médecine et hygiène tropicales), Université Victor-Segalen Bordeaux-II, 146 rue Leo-Saignat, 33076 Bordeaux, France. ifmtbinh@yahoo.com
Nguyen
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TH
Vu
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TQ
Nguyen
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TL
Malvy
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D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000367:Age Factors; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D018450:Disease Progression; D005260:Female; D006400:Hematocrit; D006529:Hepatomegaly / Q000209:etiology; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007121:Immunocompetence; D007223:Infant; D022321:Japanese Encephalitis Vaccines / Q000276:immunology; D008297:Male; D012008:Recurrence; D012307:Risk Factors; D019595:Severe Dengue / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D014505:Urban Population; D014611:Vaccination; D014744:Vietnam / Q000453:epidemiology
D022321:Japanese Encephalitis Vaccines