Clinical and virological features of Dengue in Vietnamese infants.

BACKGROUND: Infants account for a small proportion of the overall dengue case burden in endemic countries but can be clinically more difficult to manage. The clinical and laboratory features in infants with dengue have not been extensively characterised. METHODOLOGY/PRINCIPAL FINDINGS: This prospec...

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Những tác giả chính: Chau, T, Anders, K, Lien, L, Hung, N, Hieu, LT, Tuan, N, Thuy, T, Phuong, LT, Tham, N, Lanh, M, Farrar, J, Whitehead, S, Simmons, C
Định dạng: Journal article
Ngôn ngữ:English
Được phát hành: 2010
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author Chau, T
Anders, K
Lien, L
Hung, N
Hieu, LT
Tuan, N
Thuy, T
Phuong, LT
Tham, N
Lanh, M
Farrar, J
Whitehead, S
Simmons, C
author_facet Chau, T
Anders, K
Lien, L
Hung, N
Hieu, LT
Tuan, N
Thuy, T
Phuong, LT
Tham, N
Lanh, M
Farrar, J
Whitehead, S
Simmons, C
author_sort Chau, T
collection OXFORD
description BACKGROUND: Infants account for a small proportion of the overall dengue case burden in endemic countries but can be clinically more difficult to manage. The clinical and laboratory features in infants with dengue have not been extensively characterised. METHODOLOGY/PRINCIPAL FINDINGS: This prospective, cross-sectional descriptive study of infants hospitalized with dengue was conducted in Vietnam from November 2004 to December 2007. More than two-thirds of 303 infants enrolled on clinical suspicion of dengue had a serologically confirmed dengue virus (DENV) infection. Almost all were primary dengue infections and 80% of the infants developed DHF/DSS. At the time of presentation and during hospitalization, the clinical signs and symptoms in infants with dengue were difficult to distinguish from those with other febrile illnesses, suggesting that in infants early laboratory confirmation could assist appropriate management. Detection of plasma NS1 antigen was found to be a sensitive marker of acute dengue in infants with primary infection, especially in the first few days of illness. CONCLUSIONS/SIGNIFICANCE: Collectively, these results provide a systematic description of the clinical features of dengue in infants and highlight the value of NS1 detection for diagnosis.
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spelling oxford-uuid:778c5fc3-be92-4cb3-967e-91436ea5f4522022-03-26T20:25:00ZClinical and virological features of Dengue in Vietnamese infants.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:778c5fc3-be92-4cb3-967e-91436ea5f452EnglishSymplectic Elements at Oxford2010Chau, TAnders, KLien, LHung, NHieu, LTTuan, NThuy, TPhuong, LTTham, NLanh, MFarrar, JWhitehead, SSimmons, C BACKGROUND: Infants account for a small proportion of the overall dengue case burden in endemic countries but can be clinically more difficult to manage. The clinical and laboratory features in infants with dengue have not been extensively characterised. METHODOLOGY/PRINCIPAL FINDINGS: This prospective, cross-sectional descriptive study of infants hospitalized with dengue was conducted in Vietnam from November 2004 to December 2007. More than two-thirds of 303 infants enrolled on clinical suspicion of dengue had a serologically confirmed dengue virus (DENV) infection. Almost all were primary dengue infections and 80% of the infants developed DHF/DSS. At the time of presentation and during hospitalization, the clinical signs and symptoms in infants with dengue were difficult to distinguish from those with other febrile illnesses, suggesting that in infants early laboratory confirmation could assist appropriate management. Detection of plasma NS1 antigen was found to be a sensitive marker of acute dengue in infants with primary infection, especially in the first few days of illness. CONCLUSIONS/SIGNIFICANCE: Collectively, these results provide a systematic description of the clinical features of dengue in infants and highlight the value of NS1 detection for diagnosis.
spellingShingle Chau, T
Anders, K
Lien, L
Hung, N
Hieu, LT
Tuan, N
Thuy, T
Phuong, LT
Tham, N
Lanh, M
Farrar, J
Whitehead, S
Simmons, C
Clinical and virological features of Dengue in Vietnamese infants.
title Clinical and virological features of Dengue in Vietnamese infants.
title_full Clinical and virological features of Dengue in Vietnamese infants.
title_fullStr Clinical and virological features of Dengue in Vietnamese infants.
title_full_unstemmed Clinical and virological features of Dengue in Vietnamese infants.
title_short Clinical and virological features of Dengue in Vietnamese infants.
title_sort clinical and virological features of dengue in vietnamese infants
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