epidemic dengue 4 in the yucatán, méxico, 1984 epidemia de dengue 4 en yucatán, méxico, 1984

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ID: 131109
1993
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Abstract
An outbreak of dengue 4 occurred in the Yucatán, México in 1984. During the course of the outbreak, 538 of 5486 reported cases of dengue-like illness were studied; 200 were confirmed as dengue serologically and/or virologically. Dengue 4 virus was isolated from 34 patients and dengue 1 from one. Severe haemorrhagic symptoms were observed in 9 laboratory confirmed patients, including four deaths. Thus, the outbreak in Yucatán is the second dengue epidemic in the Americas after the Cuban epidemic in 1981 in which a number of patients suffered from haemorrhagic complications. It was notable that 5 of 9 hospitalized, severe cases were young adults and that only one met the WHO criteria of DHF, in contrast to primary pediatric nature of DHF in Southeast Asia. In this paper we describe clinical, serologic, and virologic studies conducted during the outbreak.
Un brote de dengue 4 ocurrió en Yucatán, México en 1984. Durante el curso del brote, 538 de 5486 casos reportados como dengue clínico fueron estudiados; 200 fueron confirmados como dengue, por estudios serológicos y/o virológicos. El dengue tipo 4 fue aislado de 34 pacientes y dengue 1 de un paciente. Síntomas hemorrágicos severos fueron observados en 9 pacientes confirmados por pruebas de laboratorio, de los cuales 4 fallecieron. Así, el brote en Yucatán es la segunda epidemia de dengue en las Américas después de la epidemia en Cuba en 1981 por el número de pacientes que sufrieron de complicaciones hemorrágicas. Fué notable que 5 de 9 casos hospitalizados, fueron adultos jóvenes y que únicamete un paciente reunió los criterios de la Organización Mundial de la Salud para la Fiebre Hemorrágica por Dengue (FHD), en contraste con los casos pediátricos de FHD del Sureste de Asia. En este artículo describimos los estudios clínicos, serológicos y virológicos realizados durante el brote.
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Authors ;Maria Alba Loroño Pino;José Arturo Farfán Ale;Elsy del Pilar Rosado Paredes;Goro Kuno;Duaue J. Gubler
Journal 2017 12th international conference for internet technology and secured transactions, icitst 2017
Year 1993
DOI
10.1590/S0036-46651993000500011
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651993000500011
Keywords
outbreak tropical medicine haemorrhagic casesarctic medicine

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