title: Chest radiographic presentation in patients with dengue hemorrhagic Fever.
abstract: 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.
authors: 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.
authors: Chin-Chou
authors: CC
authors: Wang
authors: Chao-Chien
authors: CC
authors: Wu
authors: Jien-Wei
authors: JW
authors: Liu
authors: An-Shen
authors: AS
authors: Lin
authors: Shih-Feng
authors: SF
authors: Liu
authors: Yu-Hsiu
authors: YH
authors: Chung
authors: Mao-Chang
authors: MC
authors: Su
authors: Ing-Kit
authors: IK
authors: Lee
authors: Meng-Chih
authors: MC
authors: Lin
mesh_terms: 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
chemical_list: D012709:Serum Albumin; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase