Dengue en un neonato / Dengue in a newborn

RESUMEN

Resumen El dengue es la enfermedad transmitida por artrópodos de mayor importancia en salud pública; sin embargo, su presencia en la etapa neonatal está pobremente estudiada, con pocos casos descritos en el mundo. Se presenta el caso clínico de un recién nacido de 12 días de vida, con historia de fiebre e irritabilidad, por lo que se sospechó una sepsis neonatal. Por trombocitopenia progresiva y el antecedente de la madre con diagnóstico de dengue posterior al parto, se diagnosticó un dengue en el RN por test rápido y confirmado por biología molecular, con una evolución favorable. El dengue en la etapa neonatal debe ser sospechado en áreas endémicas y proponerse guías de manejo.

ABSTRACT

Dengue is the disease transmitted by arthropods of major importance in public health; however its presence in the neonatal stage is poorly studied, with few cases described worldwide. We present the case report of a neonate who started illness at 12 days of age, characterized by fever and irritability. He was hospitalized for suspicion of neonatal sepsis; later he presented thrombocytopenia and due the antecedent of his mother with diagnosis of dengue after childbirth, dengue tests were obtained in the neonate, resulting positive, then support treatment and fluid treatment is performed, with subsequent recovery. Dengue in the neonatal stage should always be suspected in areas where the disease is endemic and management guides should be proposed.