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Salazar Flórez JE, Marín Velasquez K, Segura Cardona ÁM, Restrepo Jaramillo BN, Ortega Díaz YE, Giraldo Cardona LS, Arboleda Naranjo M. Clinical Manifestations of Dengue in Children and Adults in a Hyperendemic Region of Colombia. Am J Trop Med Hyg 2024; 110:971-978. [PMID: 38507814 PMCID: PMC11066339 DOI: 10.4269/ajtmh.23-0717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/30/2023] [Indexed: 03/22/2024] Open
Abstract
Dengue is the most common arboviral disease in the world. Traditionally, it has affected more adults, but the incidence in children has increased in recent years. Colombia is no stranger to this change; therefore, we aimed to find the differences in signs, symptoms, and clinical, hematological, and hemogram characteristics between children under 12 years old and individuals aged 12 years and older in an endemic region of Colombia in 2020-2022. The analyses were conducted with baseline data, corresponding to a cross-sectional design. Multiple correspondence analysis was used for general, dermatological, and clinical symptom profiles. Discriminant analysis was used for laboratory profiles. Multiple correspondence analysis was applied to nominal categorical data, employing Euclidean distances to analyze age groups. Discriminant analysis was applied to a training sample and validated on a test sample. The overall agreement of the model's discrimination, sensitivity, specificity, and fit indicators was calculated. The results indicated that individuals under 12 years exhibited distinct dermatological and clinical features, including rash, pruritus, hypotension, lymphocyte count, and platelet count, compared with those aged 12 years and older. In contrast, those 12 years and older were profiled for general and clinical symptoms such as pain (back pain, retro-orbital pain, headache), dizziness, chills, hematuria, tachypnea, and elevated/high hematocrit, hemoglobin, and basophil values. These findings are crucial to understanding the high incidence in children; they also facilitate rapid understanding of the disease in clinical care settings and differentiate it from other febrile outbreaks. This will affect disease control, particularly in severe cases, and reduce mortality.
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Affiliation(s)
- Jorge Emilio Salazar Flórez
- Epidemiology and Biostatistics Group, CES University, Medellín, Colombia
- Infectious and Chronic Diseases Study Group (GEINCRO), San Martín University Foundation, Sabaneta, Colombia
| | | | | | | | | | - Luz Stella Giraldo Cardona
- Infectious and Chronic Diseases Study Group (GEINCRO), San Martín University Foundation, Sabaneta, Colombia
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Akbar SMF, Khan S, Mahtab M, Mahtab MA, Yahiro T, Arafat SM, Sarker MAS, Podder PK, Hossain MS, Khandokar FA, Hassan MR, Rahim MA, Ashraf MA, Rony RS, Nishizono A. Recent Dengue Infection in Bangladesh: A Seasonal Endemic Progressing to Year-long Serious Health Concern. Euroasian J Hepatogastroenterol 2023; 13:145-151. [PMID: 38222961 PMCID: PMC10785144 DOI: 10.5005/jp-journals-10018-1408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 11/04/2023] [Indexed: 01/16/2024] Open
Abstract
Dengue represents one of the most dangerous mosquito-borne viral diseases. Although the disease has been prevalent around the globe over the centuries, recent outbreaks of dengue have devasted the healthcare delivery system of many countries. Being a global infection, dengue virus (DENV) is endemically present mainly in Latin America and Caribbean countries as well as countries in South Asia. The recent outbreak of DENV infection has indicated an exceptional outbreak of DENV in some countries in South Asia. There has been a serious endemic of DENV during 2019. After a heterogeneous pause, another severe outbreak of DENV was reported in some Asian countries in 2023. Among the Asian countries, Bangladesh has reported an acute upsurge of DENV infection in 2023 with record numbers of fatalities. However, this pattern of DENV has not been detected in neighbors of Bangladesh, such as India or other countries in Southeast Asia. This provides an emergent task of dissecting the present DENV infection in Bangladesh from different angles to get insights for future containment of the DENV infection, not only in Bangladesh but also in other DENV endemic areas or DENV-native areas. How to cite this article Akbar SMF, Khan S, Mahtab M, et al. Recent Dengue Infection in Bangladesh: A Seasonal Endemic Progressing to Year-long Serious Health Concern. Euroasian J Hepato-Gastroenterol 2023;13(2):145-151.
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Affiliation(s)
- Sheikh Mohammad Fazle Akbar
- Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine; Research Center for Global and Local Infectious Diseases, Faculty of Medicine, Oita University, Oita, Japan; Miyakawa Memorial Research Foundation, Tokyo, Japan
| | - Sakirul Khan
- Research Center for Global and Local Infectious Diseases; Department of Microbiology, Faculty of Medicine, Oita University, Oita, Japan
| | - Musarrat Mahtab
- Department of Biochemistry and Biotechnology, North South University, Dhaka, Bangladesh
| | - Mamun Al Mahtab
- Interventional Hepatology Division, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Takaaki Yahiro
- Research Center for Global and Local Infectious Diseases; Department of Microbiology; Department of Advanced Medical Sciences, Faculty of Medicine, Oita University, Oita, Japan
| | - Shohael Mahmud Arafat
- Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | | | | | | | | | | | - Md Abdur Rahim
- Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Muhammad Ali Ashraf
- Acute Medicine Unit, Sir Salimullah Medical, College Mitford Hospital, Dhaka, Bangladesh
| | - Rajib Saha Rony
- Department of Hepatology, Sir Salimullah Medical College, Dhaka, Bangladesh
| | - Akira Nishizono
- Research Center for Global and Local Infectious Diseases; Department of Microbiology, Faculty of Medicine, Oita University, Oita, Japan
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