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Revista Cubana de Pediatría

Print version ISSN 0034-7531On-line version ISSN 1561-3119

Abstract

TEJEDA HERNANDEZ, Olga Olivia; AMARO RODRIGUEZ, Lázara  and  SOSA PALACIOS, Oramis. Clinical-epidemiological characterization of pediatric patients with zika in epidemic. Rev Cubana Pediatr [online]. 2020, vol.92, n.3, e996.  Epub Sep 01, 2020. ISSN 0034-7531.

Introduction:

Zika virus is considerd as an emergent virus with no previous presence in the Cuban population.

Objective:

To characterize clinically patients with confirmed Zika virus.

Methods:

Descriptive cross-sectional study conducted in ´´Leonor Pérez´´ Pediatric Hospital between 2016 and 2017 during the epidemics. There were analyzed 140 clinical records of patients with zika confirmed by chain reaction of polymerase in serum and urine. There were measured clinical and laboratory variables and it was calculated the assisted rate.

Results:

The assisted rate was 44.35 × 100 suspected cases. From the analyzed clinical records, 72.1% corresponded to the male sex and the average age was 10.9 ± 5.5 years. The chain reaction of polimerase was positive in a higher percentage of patients in urine than in serum: 52.1% and 40.7%, respectively and corresponding with the day when the urine sample was taken. Rash was present in 84.3% of the patients and fever in 70.0%. Pruritus, red eyes, cephalalgia, general discomfort, pain behind the eyes, odynophagia, arthralgia, anorexia and edemas were observed in less than 35.0% of the cases. The averages of the components of blood count with differential and the erythrocyte sedimentation were normal.

Conclusions:

Rash and fever are the most frequent symptoms and the study of urine by chain reaction of polimerase informs of a higher number of positive patients than in the study of serum, according to the time of admittion. The routine complementary tests are not suggestive of zika in suspected cases.

Keywords : zika; clinic; epidemiology; pediatrics.

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