Abstract

HOYOS RIVERA, Antulio; PEREZ RODRIGUEZ, Antonio  and  HERNANDEZ MELENDREZ, Edelsys. Clinical spectrum of dengue. Rev cubana med [online]. 2012, vol.51, n.1, pp. 61-68. ISSN 0034-7523.

Introduction: the clinical picture of dengue has been classified in multiple ways, some, although current, not satisfy its clinical and epidemiological variants. Objective: to achieve a serological, clinical and epidemiological classification contributing to disease control. Methods: present serological-epidemiological study of the infection by dengue is based on a sample of 535 inhabitants selected by simple randomized method in San Mateo, Venezuela, from May, 2007 to May, 2008. As a frequency measure of study variables authors used the percentage and its confidence interval (CI). Results: the 78,75 % (95 % CI; 67,9-86,8) of cases had typical symptoms and were positive to dengue in the IgM study, the asymptomatic cases with a positive IgM accounted for the 13,75 % (95 % CI: 7,4-23,7) of total of positives. Conclusions: the asymptomatic cases with a positive IgM are an indirect evidence of the vector and foci. The classification proposed declares a great number of cases when clinical spectrum of disease was expanded.

Keywords : Dengue; symptoms; clinical spectrum; serology; vector.

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