Chest radiographic presentation in patients with dengue hemorrhagic Fever.
There has been no previously reported case series study regarding chest radiographic (CXR) presentations in dengue hemorrhagic fever (DHF) patients. We retrospectively studied 363 DHF patients from June to December 2002 in southern Taiwan, and a total of 468 CXRs were obtained and reviewed. More than 50% of these showed abnormalities after the 3rd day, with infiltration only and small pleural effusion as the major findings. Progressive changes during the first week and improvements during the second week were observed in these abnormal CXRs. The CXR presentation was also significantly correlated with laboratory findings (white blood cell count, platelet levels, activated partial thromboplastin time, and alanine aminotransferase and albumin levels), as well as the clinical course (renal insufficiency, liver function impairment, upper gastrointestinal bleeding, combination bacterial infection, and duration of admission) and outcome (mortality). The CXR may therefore be a modality for evaluating the clinical course of DHF and should be made during first week after the onset of illness.
Wang
Chin-Chou
CC
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, 123 Dabi Road, Niaosung Shiang, Kaohsiung, Taiwan.
Wu
Chao-Chien
CC
Liu
Jien-Wei
JW
Lin
An-Shen
AS
Liu
Shih-Feng
SF
Chung
Yu-Hsiu
YH
Su
Mao-Chang
MC
Lee
Ing-Kit
IK
Lin
Meng-Chih
MC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000410:Alanine Transaminase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D002648:Child; D002675:Child, Preschool; D003716:Dengue Virus; D005260:Female; D006400:Hematocrit; D006801:Humans; D007223:Infant; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D010314:Partial Thromboplastin Time; D010976:Platelet Count; D010996:Pleural Effusion / Q000097:blood / Q000000981:diagnostic imaging / Q000821:virology; D011517:Prothrombin Time; D013902:Radiography, Thoracic / Q000379:methods; D012189:Retrospective Studies; D012709:Serum Albumin / Q000378:metabolism; D019595:Severe Dengue / Q000097:blood / Q000000981:diagnostic imaging* / Q000821:virology
D012709:Serum Albumin; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase