Browsing by Autor "Moisés Sihuincha Maldonado"

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    Características clínicas de pacientes internados en el Hospital de Apoyo de Iquitos "César Garayar García" durante la epidemia de dengue, enero-febrero de 2011
    (National Institute of Health of Peru, 2011) Víctor Fiestas Solórzano; Moisés Sihuincha Maldonado; Fernando Donaires Toscano; Salomón Durand Velazco; María García M; Enrique Mamani; Juan Carlos Gómez de la Torre
    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.