Clinical and laboratory findings in patients with dengue associated with hepatopathy

Revista da Sociedade Brasileira de Medicina Tropical

Delso Do Nascimento²  Ana Rita Coimbra Motta De Castro¹  Íris Bucker Froes²  Gláucia Bigaton²  Éveny Cristine Luna De Oliveira²  Márcia Ferrario Janine Dal Fabbro¹  Rivaldo Venâncio Da Cunha²  Izaias Pereira Da Costa² 

[1] ,Universidade Federal de Mato Grosso do Sul Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias Campo Grande MS

关键词: Dengue;    Hemorrhagic dengue;    Hepatitis;    Dengue;    Dengue hemorrágico;    Hepatite;   

DOI  :  10.1590/S0037-86822011005000061

来源: SciELO

【 摘 要 】

INTRODUCTION: Hepatic disorders caused by dengue infection may progress to severe manifestations, including mortality and morbidity. Cytokines are involved in it, such as the migration inhibitory factor of macrophages (MIF), tumor necrosis factor (TNF), natural killer cells (NK), B lymphocytes, and macrophages. METHODS: This study was carried out from January to April 2007 at a public hospital from the Federal University of Mato Grosso do Sul, Campo Grande, Brazil. Sixty-eight patients were studied concerning hepatic alterations, with 56 reported having classic dengue, 6 with hemorrhagic dengue grade I, and 6 with hemorrhagic dengue grade II. RESULTS: Among the 56 with classic dengue, 83.3% had aspartate aminotransferase (AST) alterations, and 69.6% had altered alanine aminotransferase (ALT). For those with hemorrhagic dengue grade I, 100% had AST alterations, and 83.3% had altered ALT. All the patients with hemorrhagic dengue grade II had AST and ALT alterations. AST variations reached 22.0 and 907.0, with an average value of 164.6. For ALT, we found variations between 25.0 and 867.0, with an average value of 166.07. There had been statistical significance between dengue clinical shapes and hepatic function markers. CONCLUSIONS: We conclude that the infection was predominant in adults, females, and in those with low income and education. The liver enzymes were of larger amount in hemorrhagic dengue, but there was weak statistical evidence of the clinical manifestations and transaminases. Major signs and clinical symptoms were fever, headache, myalgia, arthralgia, weakness, severe pain behind the eyes, and rashes.

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