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Autoimmune features caused by dengue fever: a case report
Jardim, Denis Leonardo Fontes; Tsukumo, Daniela Miti Lemos; Angerami, Rodrigo N; Carvalho Filho, Marco Antonio de; Saad, Mário José Abdalla.
  • Jardim, Denis Leonardo Fontes; Universidade Estadual de Campinas. Department of Internal Medicine. Campinas. BR
  • Tsukumo, Daniela Miti Lemos; Universidade Estadual de Campinas. Department of Internal Medicine. Campinas. BR
  • Angerami, Rodrigo N; Universidade Estadual de Campinas. Department of Internal Medicine. Campinas. BR
  • Carvalho Filho, Marco Antonio de; Universidade Estadual de Campinas. Department of Internal Medicine. Campinas. BR
  • Saad, Mário José Abdalla; Universidade Estadual de Campinas. Department of Internal Medicine. Campinas. BR
Braz. j. infect. dis ; 16(1): 92-95, Jan.-Feb. 2012. ilus, tab
Article in English | LILACS | ID: lil-614559
ABSTRACT
Dengue virus is the most important mosquito-borne viral disease in the world. Co-circulation of the four types of dengue viruses and expansion of dengue epidemic gave rise to infection enhancement and a big expansion of clinical aspects of the disease. Herein we report a case of a 25-year-old white woman with dengue fever and numerous associated autoimmune features. Our patient had proteinuria, an extensive right pleural effusion, a thin pericardial effusion and ascites. She had a low C3 level and positive antinuclear antibody; cryoglobulins were also positive. The numerous autoimmune features of this patient were a diagnostic challenge, since she was a young woman and could be easily mistaken for a rheumatologic patient in a newly open disease. Dengue infection probably was a triggering event causing an abnormal immune response. Therefore, dengue should be suspected in patients with hematological disorders and autoimmune features in endemic regions or those who have travelled to those regions.
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Full text: Available Index: LILACS (Americas) Main subject: Autoimmune Diseases / Dengue Type of study: Diagnostic study Limits: Adult / Female / Humans Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Campinas/BR

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Full text: Available Index: LILACS (Americas) Main subject: Autoimmune Diseases / Dengue Type of study: Diagnostic study Limits: Adult / Female / Humans Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Campinas/BR