title: [Clinical characteristics of patients admitted to hospital "Cesar Garayar García", Iquitos during the dengue epidemic, January-February 2011].
abstract: We conducted a clinical description of confirmed dengue cases admitted to the Hospital " César Garayar García" in Iquitos from January 25 to February 5, 2011. According to current WHO classification, major warning signs leading to hospitalization were: abdominal pain (28/28) and persistent vomiting (15/28), the causes of severity were: hypotension (9 / 13), severe bleeding (6 / 13) and plasma extravasation with respiratory distress (4 / 13). The median patient age was 22 years, however, 8 / 13 patients classified as severe dengue were under 16 years. In conclusion, unlike previous epidemics, we found a high involvement of young people and severity in the clinical presentation predominating a high frequency of shock (hypotension) and vascular leakage, which could be related to the circulation of an emerging variant DENV-2 which is more virulent.
authors.affiliation: Centro de Investigación de Enfermedades Tropicales Maxime Kuczynski, Instituto Nacional de Salud, Perú. vicfiso@yahoo.es
authors.forename: Víctor
authors.initials: V
authors.lastname: Fiestas Solórzano
authors.forename: Moisés
authors.initials: M
authors.lastname: Sihuincha Maldonado
authors.forename: Fernando
authors.initials: F
authors.lastname: Donaires Toscano
authors.forename: Salomón
authors.initials: S
authors.lastname: Durand Velazco
authors.forename: María
authors.initials: M
authors.lastname: García M
authors.forename: Enrique
authors.initials: E
authors.lastname: Mamani
authors.forename: Juan
authors.initials: J
authors.lastname: Gómez de la Torre Pretell
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003715:Dengue / Q000175:diagnosis* / Q000453:epidemiology*; D058872:Epidemics; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010568:Peru / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult