Dengue na gestação / Dengue infection in pregnancy

RESUMO

Relato de evolução de paciente com infecção por dengue associada com a gestação. A Dengue constitui-se em doença de grande incidência nos países tropicais. Sua ocorrência pode ser de difícil diagnóstico quando junto com a gravidez, pelas modificações que a gestação determina sobre vários parâmetros laboratoriais. Na maioria das vezes, não há intercorrências, apesar dos relatos da dengue com prematuridade e morte fetal. As manifestações da dengue são semelhantes em gestantes e não gestantes ; mas alto grau de suspeição clínica favorece seu diagnóstico precoce.

ABSTRACT

When dengue, an infection with increasing incidence among the tropical area, occurs in pregnancy it could provide difficult in diagnoses. V. P. C., 20 years old, between the 19th and 20th week of pregnancy, admitted to the hospital with high-grade fever for two days, associated with myalgia, arthralgia, retro-orbital pain, exanthema in anterior chest, and gingival bleeding. The score of platelets and hematometria exams were made and the serologic test detected IgM antibodies and the tourniquet test was negative. Warning signal was not observed. The patient did not show signs of gravity and was follow-up by medical care in the health center. The normal physiological changes in pregnancy could confuse the laboratory exams used at the follow up of pregnant. The treatment was based on control of temperature, hydration oral, and intravenous fluid replacement. Most pregnancies progressed with no complications, besides some works show that there is a relationship between infection and prematurity/fetal death. The clinical picture of dengue is similar in pregnancy and non-pregnancy. However, the high index of suspicion in patients can provides an early diagnosis.