title: [Analysis of dengue fever deaths in Mexico: 2009].
abstract: OBJECTIVE
  to describe the dengue fever mortality.
  
  
  METHODS
  a descriptive and retrospective study including 104 files reported deaths caused by dengue fever during 2009 to march 2010, was done.
  
  
  RESULTS
  sixty (58 %) were women and 44 (42 %) men. An increased mortality between the ages of 11 and 40 years old (47 %) was observed. Colima was a state with high incidence of cases and Jalisco had the highest mortality. Thrombocytopenia was the rule (90.4 %) and in one third of the cases platelets were below 50,000/mm(3). A quarter of cases were associated with comorbility. The initial clinical manifestations included: bleeding, hypovolemia by depletion or hemorrhage, tachycardia, paleness, depressed level of consciousness and circulatory failure. The main cause of death was hypovolemic shock or sepsis. In 42 cases, severe dengue was considered.
  
  
  CONCLUSIONS
  an association between the severity of dengue fever and mortality was observed. The main cause of mortality was a shock state.
authors: Comisión Nacional de Arbitraje Médico, Distrito Federal, México.
authors: Germán
authors: G
authors: Fajardo-Dolci
authors: José
authors: J
authors: Meljem-Moctezuma
authors: Esther
authors: E
authors: Vicente-González
authors: Francisco Vicente
authors: FV
authors: Venegas-Páez
authors: Ignacio
authors: I
authors: Villalba-Espinoza
authors: Ana Luisa
authors: AL
authors: Pérez-Cardoso
authors: Dante Adrián
authors: DA
authors: Barrón-Saldaña
authors: Claudia
authors: C
authors: Barragán-Ramírez
authors: Alejandro
authors: A
authors: Novoa-Boldo
authors: Ana Valeria
authors: AV
authors: Aguirre-Güemez
authors: Laura Alejandra
authors: LA
authors: Mendoza-Larios
authors: Betania
authors: B
authors: Mazón-González
authors: Gabriela
authors: G
authors: Montesinos-Gómez
authors: Rosa
authors: R
authors: López-González
authors: Héctor Gerardo
authors: HG
authors: Aguirre-Gas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003715:Dengue / Q000401:mortality*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult