金玫华, 沈建勇, 韩建康, 刘小琦, 凌建, 邹勇, 张宏, 何继红, 陆致齐, 王小康. 4例输入性登革热病例的调查与处理[J]. 疾病监测, 2008, 23(6): 341-343. DOI: 10.3784/j.issn.1003-9961.2008.6.341
引用本文: 金玫华, 沈建勇, 韩建康, 刘小琦, 凌建, 邹勇, 张宏, 何继红, 陆致齐, 王小康. 4例输入性登革热病例的调查与处理[J]. 疾病监测, 2008, 23(6): 341-343. DOI: 10.3784/j.issn.1003-9961.2008.6.341
JIN Mei-hua, SHEN Jian-yong, HAN Jian-kang, LIU Xiao-qi, LING Jian, ZOU Yong, ZHANG Hong, HE Ji-hong, LU Zhi-qi, WANG Xiao-kang. Investigation and management of four patients with imported dengue fever[J]. Disease Surveillance, 2008, 23(6): 341-343. DOI: 10.3784/j.issn.1003-9961.2008.6.341
Citation: JIN Mei-hua, SHEN Jian-yong, HAN Jian-kang, LIU Xiao-qi, LING Jian, ZOU Yong, ZHANG Hong, HE Ji-hong, LU Zhi-qi, WANG Xiao-kang. Investigation and management of four patients with imported dengue fever[J]. Disease Surveillance, 2008, 23(6): 341-343. DOI: 10.3784/j.issn.1003-9961.2008.6.341

4例输入性登革热病例的调查与处理

Investigation and management of four patients with imported dengue fever

  • 摘要: 目的分析浙江省湖州市4例输入性登革热病例的临床特点和流行病学特征。方法采用描述流行病学方法对4例病例的发现、诊断和应急处置等进行回顾性分析和评价。结果4例病例均出现发热、出疹或针尖样出血点,3例出现肌肉酸痛,1例浅部淋巴结肿大,2例女性患者均出现阴道出血;实验室检查4例病例白细胞总数与血小板均降低,血清登革热特异性抗体IgM均阳性;4例患者发病前均有到东南亚国家旅游或务工史,3例患者有在当地被蚊虫叮咬史(1例不详),1例患者有类似患者接触史。结论4例登革热病例均为输入性病例,并经过实验室确认。由于发现及时,患者救治方案正确,各项防控措施落实到位,4例患者均痊愈出院,未发生二代病例,疫情得到有效控制。

     

    Abstract: Objective The study was conducted to analyze the clinical features and epidemiological characteristics of imported dengue fever confirmed in four patients in Huzhou city.Methods A retrospective descriptive epidemiological investigation was conducted to analyze and evaluate the process of discovery, diagnosis and management of imported dengue fever in four patients.Results The common manifestations included fever, skin rash or pinpoint hemorrhagic spots(4/4), muscular soreness(3/4) and swollen superficial lymph nodes (1/4). Vaginal bleeding was seen in the 2 female patients. All patients had decreased white cell counts and platelet counts and positive dengue-specific IgM antibodies,as shown by laboratory tests.History of personal or business trip to Southeast Asia was confirmed in all patients,and 3 of them had been exposed to mosquito bites (the other not known); one patient had had contact with suspected patient. Conclusion Imported dengue fever was confirmed in these 4 patients through laboratory tests. Discovered in time and properly treated,the patients were cured,and no secondary cases ensued after effective prevention and control measures were performed.

     

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